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Special Needs Family Experience During Covid
1.
How would you rate your anxiety before Covid (on a scale of 1-10)?
1 Not Anxious
2
3
4
5
6
7
8
9
10 Very Anxious
2.
How would you rate your anxiety during Covid (on a scale of 1-10)?
1 Not Anxious
2
3
4
5
6
7
8
9
10 Very Anxious
3.
How would you rate your child’s anxiety before Covid (on a scale of 1-10)?
1 Not Anxious
2
3
4
5
6
7
8
9
10 Very Anxious
4.
How would you rate your child’s anxiety during Covid (on a scale of 1-10)?
1 Not Anxious
2
3
4
5
6
7
8
9
10 Very Anxious
5.
How much do you feel your experience in parenting a child with a disability helped prepare you for some of the issues during Covid (e.g., not being able to go places, attend events etc.)?
A great deal
A lot
A moderate amount
A little
None at all
6.
Did the lack of structure or routine affect your child?
A great deal
A lot
A moderate amount
A little
None at all
7.
At any time during Covid, were you unable to get the supplies you need to care for your loved one (e.g., food, cleaning, hygiene, learning materials etc.)?
Yes
No
N/A
8.
Did you find your family benefitted from increased family time during Covid?
A great deal
A lot
A moderate amount
A little
None at all
N/A
9.
Did you feel exhausted or overwhelmed by the lack of respite or breaks from caregiving during Covid?
A great deal
A lot
A moderate amount
A little
None at all
N/A
10.
Did your child change sleeping patterns or sleep less during Covid?
Yes
No
11.
Was your child’s eating affected (ate too little or too much)?
Yes
No
12.
Did your child exhibit new challenging behaviors?
Yes
No
13.
Did existing challenging behaviors increase in frequency or intensity?
Yes
No
14.
Was your child successful with remote learning/telehealth?
Very Successful
Moderately Successful
Somewhat Successful
Barely
Not at all
N/A
15.
Did your child regress?
A great deal
A lot
A moderate amount
A little
Not at all
16.
Did your child increase behaviors to a point that was unsafe (e.g., nutrition issues, aggression, self injury, etc.)?
Yes
No
17.
Did you find having a child with a disability made quarantine and restrictions easier or harder to cope with?
A lot easier
Easier
Not more or less easier-the same
More Difficult
A lot more difficult
18.
Did one or more person in your household experience depression related to being a special needs family during Covid?
Yes
No
19.
Did any member of your household seek therapy/counseling during Covid due to mental health issues?
Yes
No
N/A
20.
Was childcare harder to find during Covid?
Yes
No
N/A
21.
Are you concerned about the long-term affects of Covid related trauma in your child?
Extremely concerned
Very concerned
Somewhat concerned
Not so concerned
Not at all concerned
22.
Did you or your child contract Covid?
Yes
No
23.
Did you feel supported or heard by government/leadership?
A great deal
A lot
A moderate amount
A little
Not at all
24.
What was the hardest part of COVID?
25.
What is your child's disability/diagnosis?
26.
Where do you live? (City, State, Country)
27.
Is there anything unique about you or your family that made COVID easier, harder or different?
Current Progress,
0 of 27 answered