Thriving Autistic Family Programme Registration 2023

Welcome and thank you for your interest in our family support programmes. Please fill out this survey to register your interest.

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* 1. Your contact info:

First Name

Last Name

Email Address

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* 2. Do you have any access needs? (Select all that apply.)

I do not have any access needs

I need a Sign Language Interpreter

I need captions turned on

I need my camera off

I need to use text rather than voice communication

I need a support person to attend sessions with me

I need additional time to process my thoughts

Other (please specify)

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* 3. What are your priority areas for support?

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* 4. Are you Autistic (self-identified or formally diagnosed are equally valid)?

Yes

I'm neurodivergent but not Autistic

My partner is and they will also attend

Other (please specify)

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* 5. What age range is your Autistic child in:

birth to 12 years

13 to 17 years

18 to 24 years

over 25 years

If you have more than one autistic child, please share their ages below:

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* 6. How recently was your child diagnosed?

Less than a year ago

One to three years ago

More than four years ago

Still awaiting assessment

Other (please specify)

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* 7. Does your Autistic child have any additional diagnoses?

Intellectual Disability

ADHD

Dyspraxia, Dyslexia, Dyscalculia

Hypermobility or EDS

My child is non-speaking or minimally speaking

None of the above

Other (please specify)

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* 8. Which programme are you most interested in?

Parents of newly diagnosed children

Neuro-affirmative parenting

Autistic parents support group

Other (please specify)

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* 9. Which place do you want to apply for?

I want to apply for a full scholarship (there is a max. of one fully funded placement available for each programme)

I want to apply for a subsidised place on this programme (€500 - payment plan available)

I can pay the full cost of the programme (€800- payment plan available)

Other (please specify)

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* 10. Do you have any other comments, questions, or concerns?

100% of survey complete.