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Access to ABA services in California
*
1.
How much stress are you experiencing over access to ABA services for your child?
(Required.)
None at all
A little
A moderate amount
A lot
A great deal
*
2.
What is the age (in years) of your child/teen/adult with autism?
(Required.)
*
3.
Please select the county of California you reside in.
(Required.)
Alameda
Alpine
Amador
Butte
Calaveras
Colusa
Contra Costa
Del Norte
El Dorado
Fresno
Glenn
Humboldt
Imperial
Inyo
Kern
Kings
Lake
Lassen
Los Angeles
Madera
Marin
Mariposa
Mendocino
Merced
Modoc
Mono
Monterey
Napa
Nevada
Orange
Placer
Plumas
Riverside
Sacramento
San Benito
San Bernardino
San Diego
San Francisco
San Joaquin
San Luis Obispo
San Mateo
Santa Barbara
Santa Clara
Santa Cruz
Shasta
Sierra
Siskiyou
Solano
Sonoma
Stanislaus
Sutter
Tehama
Trinity
Tulare
Tuolumne
Ventura
Yolo
Yuba
*
4.
Generally speaking, what is your main funding source?
(Required.)
Regional center
Commercial Insurance
MediCal insurance
A combination of funding sources
I don’t know
Please specify, if possible
*
5.
What is your race/ethnicity?
(Required.)
Asian
Bi-Racial (specify if desired*)
Black/African American
Hispanic/Latinx/Latiné
Middle Eastern
Native American/Indigenous
Native Hawaiian or other Pacific Islander
White/Caucasian
I prefer to self-identify (please specify*)
I prefer not to say
* Specify if desired
*
6.
How long have you been with your current ABA provider?
(Required.)
1 year or less
1-3 years
More than 3 years
*
7.
Are you currently receiving caregiver training services (i.e., an ABA therapist working with you -- the caregiver)?
(Required.)
Yes
No
I don't know
*
8.
How many one-on-one hours of ABA services (i.e., an ABA therapist working directly with your child) has the insurance company or other payer
authorized
for your child?
(Required.)
I don't know
Please enter the number of hours below
*
9.
On average, over the past six months, what percentage of hours of ABA services is your child
receiving
relative to the number of hours that were
authorized
?
(Required.)
100%
80% or more
50% to 80%
more than 0% but less than 50%
none (0%)
Current Progress,
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