Pre-Conference - 26th Annual Transition from Pediatric to Adult-Based Care Conference Survey for Parents/Caregivers

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* 1. Are you a parent or caregiver to:

an Adult (age 21 and older) with special healthcare needs.

a Young Adolescent (age 20 or below) with special healthcare needs.

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* 2. What is your role in the community:

	Yes	No
I am a parent (or relative) of a family member with a disability	I am a parent (or relative) of a family member with a disability Yes	I am a parent (or relative) of a family member with a disability No
I am a parent/professional in the disability community	I am a parent/professional in the disability community Yes	I am a parent/professional in the disability community No
I am both a relative of someone with a disability and a professional in the disability community	I am both a relative of someone with a disability and a professional in the disability community Yes	I am both a relative of someone with a disability and a professional in the disability community No

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* 3. How would you describe your knowledge of health care transition for a young adults with special health care needs in general?

	No Knowledge	Some Knowledge	High Knowledge	Very High Knowledge
Before the Conference	Before the Conference No Knowledge	Before the Conference Some Knowledge	Before the Conference High Knowledge	Before the Conference Very High Knowledge

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* 4. Are you confident in starting a conversation about health care transition and ways to promote self-management with your young adult's health care team?

	No Knowledge	Some Knowledge	High Knowledge	Very High Knowledge
Before the Conference	Before the Conference No Knowledge	Before the Conference Some Knowledge	Before the Conference High Knowledge	Before the Conference Very High Knowledge

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* 5. Are you confident in your knowledge of legal issues and privacy changes that affect your young adult?

	No Knowledge	Some Knowledge	High Knowledge	Very High Knowledge
Before the Conference	Before the Conference No Knowledge	Before the Conference Some Knowledge	Before the Conference High Knowledge	Before the Conference Very High Knowledge