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Caregivers and Parents of Special Needs Children Survey

Welcome to our Survey

The survey is designed to learn more about the working experiences of parents and caregivers of children with special needs due to disability or physical or mental health impairments. It is 18 questions and should take approximately 15 to 25 minutes to complete. Please contact Katie Merkle, at katie@holisticindex.com, if you want to learn more about this project or become involved.
1.Please describe your race.
2.Please describe your gender.
3.What is your job status and yearly household income?
4.What is your relationship with the child in your care (i.e., parent, grandparent, foster parent, etc.)?
5.Tell us about the caregiving needs of the child in your care.
6.How old is the child in your care?
7.Do you share caregiving responsibilities with another individual? If so, what percentage of responsibility is yours and what percentage do others take on?
8.Do you have or care for other children? If yes, what are their ages?
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