We want your valuable feedback on Kokua Kona.  Kokua Kona will be an intentional housing community in the Kailua Kona area on the Big Island of Hawaii.  It will serve adults with autism/developmental disabilities.  We are working with Living Unlimited to create a new kind of community in the state of Hawai'i and are looking to connect with other interested families both on- and off-island.  Learn more at www.kokuakona.com.

*1.Do you have a child or other family member with autism/developmental disabilities?(Required.)

Yes

No

*2.What is the age range in years of your family member with special needs?(Required.)

0-5

6-10

11-18

19-26

26+

*3.Where does your child with autism/developmental disabilities currently live?(Required.)

On the Big Island

In Hawai'i, on another island

In the US, not in Hawai'i

Outside the US

Other (please specify)

4.Which characteristics best describe your family member with special needs?

Physical and/or mobility challenges

Developmental and/or cognitive challenges

Both physical/mobility and/or development/cognitive challenges

Other medical/health challenges

Other (please specify)

*5.What is your current housing plan for your child currently/when they reach adulthood?(Required.)

My child lives/will live independently in the community.  

My child lives/will live in the community with moderate supports.  

My child lives/will live in an intentional community with supports onsite.  

My child lives/will live in our family home for the rest of their lives.  

*6.If Kokua Kona, an intentional housing community, existed in the Kailua Kona area on the Big Island of Hawai'i, would your family be interested in learning more about the opportunity?(Required.)

Yes

No

Maybe in the future

7.Please leave your email address to keep in touch regarding Kokua Kona: an intentional community for adults with autism/developmental disabilities in Kailua Kona, Hawai'i.  Stay connected at www.kokuakona.com.

*8.Please leave your email address to keep in touch regarding Kokua Kona: an intentional community for adults with autism/developmental disabilities in Kailua Kona, Hawai'i.  Stay connected at www.kokuakona.com.(Required.)