Down Syndrome Network (DSNetwork) - Program Survey Question Title * 1. How likely would you be to attend any of the following educational workshop topics? Definitely Would Not Attend Probably Would Not Attend Neutral Might Attend Definitely Want to Attend N/A Potty Training Potty Training Definitely Would Not Attend Potty Training Probably Would Not Attend Potty Training Neutral Potty Training Might Attend Potty Training Definitely Want to Attend Potty Training N/A Behavior Strategies Behavior Strategies Definitely Would Not Attend Behavior Strategies Probably Would Not Attend Behavior Strategies Neutral Behavior Strategies Might Attend Behavior Strategies Definitely Want to Attend Behavior Strategies N/A Ds: 101 Ds: 101 Definitely Would Not Attend Ds: 101 Probably Would Not Attend Ds: 101 Neutral Ds: 101 Might Attend Ds: 101 Definitely Want to Attend Ds: 101 N/A Apps for Children with Special Needs Apps for Children with Special Needs Definitely Would Not Attend Apps for Children with Special Needs Probably Would Not Attend Apps for Children with Special Needs Neutral Apps for Children with Special Needs Might Attend Apps for Children with Special Needs Definitely Want to Attend Apps for Children with Special Needs N/A Speech and Language Speech and Language Definitely Would Not Attend Speech and Language Probably Would Not Attend Speech and Language Neutral Speech and Language Might Attend Speech and Language Definitely Want to Attend Speech and Language N/A Nutrition and Living Gluten Free Nutrition and Living Gluten Free Definitely Would Not Attend Nutrition and Living Gluten Free Probably Would Not Attend Nutrition and Living Gluten Free Neutral Nutrition and Living Gluten Free Might Attend Nutrition and Living Gluten Free Definitely Want to Attend Nutrition and Living Gluten Free N/A Sibling Workshop Sibling Workshop Definitely Would Not Attend Sibling Workshop Probably Would Not Attend Sibling Workshop Neutral Sibling Workshop Might Attend Sibling Workshop Definitely Want to Attend Sibling Workshop N/A Teaching Tools / Learning in the Classroom Teaching Tools / Learning in the Classroom Definitely Would Not Attend Teaching Tools / Learning in the Classroom Probably Would Not Attend Teaching Tools / Learning in the Classroom Neutral Teaching Tools / Learning in the Classroom Might Attend Teaching Tools / Learning in the Classroom Definitely Want to Attend Teaching Tools / Learning in the Classroom N/A Handwriting Without Tears Handwriting Without Tears Definitely Would Not Attend Handwriting Without Tears Probably Would Not Attend Handwriting Without Tears Neutral Handwriting Without Tears Might Attend Handwriting Without Tears Definitely Want to Attend Handwriting Without Tears N/A Other (please specify) Question Title * 2. If DSNetwork were to offer a family summer camp, what factors would most impact your decision to attend? Not important Not sure Neutral Somewhat important Very important Opportunity to participate as a family Opportunity to participate as a family Not important Opportunity to participate as a family Not sure Opportunity to participate as a family Neutral Opportunity to participate as a family Somewhat important Opportunity to participate as a family Very important Opportunity for my child to experience camp Opportunity for my child to experience camp Not important Opportunity for my child to experience camp Not sure Opportunity for my child to experience camp Neutral Opportunity for my child to experience camp Somewhat important Opportunity for my child to experience camp Very important Price Price Not important Price Not sure Price Neutral Price Somewhat important Price Very important Quality of amenities Quality of amenities Not important Quality of amenities Not sure Quality of amenities Neutral Quality of amenities Somewhat important Quality of amenities Very important Quiet atmosphere Quiet atmosphere Not important Quiet atmosphere Not sure Quiet atmosphere Neutral Quiet atmosphere Somewhat important Quiet atmosphere Very important Other (please specify) Question Title * 3. Would you be interested in attending any or all of the following family events? Not interested Neutral Very interested Family Play Date Family Play Date Not interested Family Play Date Neutral Family Play Date Very interested World Down Syndrome Day Picnic World Down Syndrome Day Picnic Not interested World Down Syndrome Day Picnic Neutral World Down Syndrome Day Picnic Very interested Holiday Party Holiday Party Not interested Holiday Party Neutral Holiday Party Very interested Step Up for Down Syndrome Walk Step Up for Down Syndrome Walk Not interested Step Up for Down Syndrome Walk Neutral Step Up for Down Syndrome Walk Very interested Family Pool Party Family Pool Party Not interested Family Pool Party Neutral Family Pool Party Very interested Other (please specify) Question Title * 4. How old is your child with Down syndrome? Question Title * 5. In what part of the Greater Phoenix Area do you currently live? East Valley Central Phoenix West Valley North Valley Other (please specify) Question Title * 6. What is the most important service that DSNetwork can provide for your family? Up-to-date information Early Intervention and new parent resources Community inclusion and education in the schools Transition planning Parent-to-parent mentoring and networking Family networking and social development opportunities Educating the public about Down syndrome Other (please specify) Question Title * 7. Any additional feedback you would like to share? Question Title * 8. Would you like to be contacted with additional information? Name Email Phone number Done