Raising Special Kids - Health Survey for Arizona Families

Raising Special Kids appreciates and understands the value of your time and perspective. In an effort to assess that the most important needs of Arizona families are being addressed; would you please assist us by completing the short 5 minute survey? Thank you!

Question Title

1. Name
We would like to learn your name, but this is entirely optional. If you are a current parent volunteer, please enter your name so we can add the results of this survey into your Parent Leader profile.
Thank you

Question Title

2. In which area of Arizona do you live?

Northern Arizona

Central Arizona

Southern Arizona

Question Title

3. What issues are most important to you about Arizona's services for children with a disability and/or special health care need? (physical, developmental, behavioral or emotional conditions).

CHECK ALL THAT APPLY

Lack of Public Programs

Not Eligible for Public Programs

Finding needed services and providers in my area

Services should be more family-friendly

Problems understanding or working with professionals who provide my child's care

Providers don't understand my family's culture

Amount of time I have to spend on coordinating care (appointments, specialists, therapies for my child)

Difficulty understanding benefits and limits of insurance coverage

Cost of insurance

Under-insured (insurance doesn't cover the costs)

Lack of insurance coverage for special health conditions

Not enough screening for health and developmental conditions

Youth transition to adult health care systems

Other

Other (please specify)

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Question Title

1. NameWe would like to learn your name, but this is entirely optional. If you are a current parent volunteer, please enter your name so we can add the results of this survey into your Parent Leader profile.Thank you

Question Title

2. In which area of Arizona do you live?

Question Title

3. What issues are most important to you about Arizona's services for children with a disability and/or special health care need? (physical, developmental, behavioral or emotional conditions).CHECK ALL THAT APPLY

1. Name
We would like to learn your name, but this is entirely optional. If you are a current parent volunteer, please enter your name so we can add the results of this survey into your Parent Leader profile.
Thank you

3. What issues are most important to you about Arizona's services for children with a disability and/or special health care need? (physical, developmental, behavioral or emotional conditions).

CHECK ALL THAT APPLY