Autism Society of Hawaii (ASH): Community Needs Survey

This survey will help the Autism Society of Hawaii shape our priorities and work for 2021. The survey will take approximately 5 minutes to complete.

Question Title

* 1. Are you one of the following?

I'm a parent or family member of an individual with autism.

I'm an individual with autism.

I'm a professional who works with individuals with autism.

I'm friends with or Know someone with autism.

Other (please specify)

Question Title

* 2. If you have autism please indicate your age. If you do not have autism indicate the age of your child, relative, or friend with autism.

0-3

4-12

13-21

22-30

31-49

50+

Question Title

* 3. Since the COVID-19 pandemic emerged, what are the main issues you are facing? Select all that apply.

Balancing work and childcare.

Not having adequate technology.

Uncertain financial future.

Fear of COVID-19.

All of the above

Other (please specify)

Question Title

* 4. As a person with autism, what are the primary on-going challenges you face? Select all that apply.

Understanding my diagnosis.

Financial challenges.

Social isolation.

Marital/Relationship Stress

Parental/family stress.

Inability to find work.

Inability to find housing

All of the above

Not Applicable

Other (please specify)

Question Title

* 5. What are the greatest needs you have s a parent or caregiver for someone with autism? Select all that apply.

Behavioral issues

Sensory challenges

Eating challenges

Securing support services

Securing educational services

Long-term financial planning

Not applicable

Other (please specify)

Question Title

* 6. Would any of the following information activities or services be helpful to the autism community? Select all that apply.

Assistance in navigating the support system.

Providing a resource list of autism friendly services.

Developing a formal Autism Helpline via phone/internet.

I’m not interested in any of these informational activities.

Other (please specify)

Question Title

* 7. Would you be interested in any of the following outreach activities be helpful to the autism community? Select all that apply.

Outreach to service officers (Police, Fire, Etc.)

Outreach to the Department of Education.

Outreach to business community (Chamber of Commerce, etc.)

I’m not interested in any of these Outreach Actvities.

Other (please specify)

Question Title

* 8. Have you had any of the following treatment or service challenges with following over the last year? Select all that apply.

Assessments or diagnosis.

Treatment or educational plans.

Inability to find a service provider.

Poor teacher/Poor Provider Performance.

No treatment of service challenges in 2020.

Other (please specify)

Question Title

* 9. Do any of the following Advocacy Issues interest you for your child? Select all that apply.

Educational Advocacy

ABA or Treatment Advocacy

General Autism Advocacy

General Legislative Advocacy

Not interested in advocacy

Other (please specify)

Autism Society of Hawaii (ASH): Community Needs Survey

Question Title

* 1. Are you one of the following?

Question Title

* 2. If you have autism please indicate your age. If you do not have autism indicate the age of your child, relative, or friend with autism.

Question Title

* 3. Since the COVID-19 pandemic emerged, what are the main issues you are facing? Select all that apply.

Question Title

* 4. As a person with autism, what are the primary on-going challenges you face? Select all that apply.

Question Title

* 5. What are the greatest needs you have s a parent or caregiver for someone with autism? Select all that apply.

Question Title

* 6. Would any of the following information activities or services be helpful to the autism community? Select all that apply.

Question Title

* 7. Would you be interested in any of the following outreach activities be helpful to the autism community? Select all that apply.

Question Title

* 8. Have you had any of the following treatment or service challenges with following over the last year? Select all that apply.

Question Title

* 9. Do any of the following Advocacy Issues interest you for your child? Select all that apply.

Question Title

* 10. Could you please rank the following potential ASH programs in the way that you think best supports the community?