SCN2A Community Needs Assessment Survey

Section 1: General Information

Question Title

* 1. In thinking about the most critical needs of your family, does the FamilieSCN2A Foundation offer programs that help?

Yes

No

I don't know

Question Title

* 2. Which best describes your connection to SCN2A?

Parent or guardian

Family member

Person with SCN2A-related disorder

Other caregiver

None of these

Question Title

* 3. How long have you been involved in the FamilieSCN2A community?

Less than 1 year.

Between 1-3 years.

Between 3-6 years.

Over 6 years.

None of these.

Question Title

* 4. Where are you located?

USA

Europe

Canada

Asia

Australia

Other

If other, please add location here