2025 Caregiver Needs Assessment

Thank you for taking this survey. The results of this survey inform our programming and supports we provide to the community. The information you share will be anonymous. All participants who complete all required questions in this survey will be entered into a raffle to win a SAMi-3 Camera if you so choose to enter at the end of this survey. You can find more information on this device here.

Deadline to Submit: December 1st
Estimated Completion Time: 10 minutes
SAMi winner will be notified via email by December 5th.

Disclaimer:
The seizure detection device included in this raffle is provided “as is.” The Child Neurology Foundation does not manufacture, endorse, or guarantee the performance, accuracy, or reliability of this device. This device should not be considered a substitute for professional medical advice, diagnosis, or treatment. Please consult with a qualified healthcare provider regarding any medical concerns. By accepting this device, the winner assumes full responsibility for its use. The Child Neurology Foundation disclaims any and all liability arising from the use or misuse of the device.
1.Are you a parent and/or primary caregiver of a child/adult child living with a disability?(Required.)
2.Does your child have epilepsy or seizures?(Required.)
3.What is the current age of your child/adult child with a disability?(Required.)