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Spectrum Autism After-School Program Interest & Needs Survey

We are asking families and caregivers of individuals with autism if they would be interested in an after-school program scheduled to begin in August 2026. Some questions ask about your child or dependents, others ask about your household. We appreciate the time and thoughtful responses you provided in this survey.
Which days of the week would your child or dependent need the after-school program? (Check all that apply)(Required.)
What hours would you need after-school care for your child or dependent (Start time to end time)?(Required.)
What type of support would your child or dependents need and benefit from in an after-school program? (Check all that apply)(Required.)
What activities would your child or dependent like to participate in during an after-school program?
(e.g., arts & crafts, physical activities, games etc.)(Required.)
What mode of transportation would your child or dependent use to get to the after-school program?(Required.)
The after-school program would take place at Spectrum Autism Support Center (2997 Main St, Duluth, GA). Would this location be convenient for you and your family?(Required.)
If the after-school program costs $210 per week, would this be affordable for you and your family?(Required.)
Are there any barriers that might prevent your child or dependent from attending the after-school program? (Check all that apply)(Required.)
If Spectrum starts an after-school enrichment program in Fall 2026, would you be interested in registering your child or dependent?(Required.)
If you selected “Yes” or “Maybe,” you can provide your name and email address so we can contact you with additional information. If you prefer, you may also contact Claire@spectrumautism.org directly for more information.(Required.)
What is your child’s or dependents' sex?(Required.)
What is your child’s or dependents' race/ethnicity(Required.)
What is your child’s or dependents' age?(Required.)
What school level is your child currently in?(Required.)
What maladaptive behaviors are observed regularly in your child or dependent? (Check all that apply)(Required.)
How does your child or dependent communicate best?(Required.)
What level of support does your child or dependent need?(Required.)
What level of toileting support does your child or dependent require during program hours?(Required.)
What is your household income?(Required.)
How long have you and your child or dependent been involved with Spectrum?(Required.)
Do you participate in any of the various programs Spectrum Autism Support Group offers? If so, please list the programs.(Required.)
Do you and your family live in Gwinnett County?(Required.)
How could Spectrum Autism Support Group, Inc. improve its work to better support you and your family's needs? (For example: more frequent support group meetings, more family events, increased community outreach, expanded respite services, etc.)(Required.)