FASD Assessment Services - Post-Clinic Caregiver Survey

Your child/youth recently participated in a Pediatric FASD assessment at our partially funded Pediatric FASD Assessment Clinic at the Glenrose Rehabilitation Hospital (GRH) in Edmonton. Your feedback will help us evaluate and improve our services. Thank you for taking the time to complete this survey. Your responses are entirely voluntary, and you may refuse to complete any part or all of this survey. Please answer openly and honestly.  The FASD Assessment Services-Post Clinic Caregiver Survey can be completed and mailed in the stamped envelope provided or completed online using the following link:  https://www.surveymonkey.com/r/PostClinicCaregiverSurvey
 

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* 1. Please enter the date (or approximate date) the assessment was completed.

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* 2. Age of your child/dependent:

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* 3. What gender does your child/dependent identify as?

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* 4. Do you understand the diagnosis your child/dependent was given?

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* 5. Do you have an increased understanding of how FASD affects your child/dependent?

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* 6. Are you more aware of your child's/dependent's needs and strengths?

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* 7. Do you have an increased understanding of the resources and services available in your community?

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* 8. Were you treated respectfully by the clinic staff?

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* 9. Do you have other comments or suggestions? If yes, please explain.

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