Taylor's Time Parent Survey Please take this survey before April 30, 2015, thank you. Question Title * 1. Please tell us a little about your child: What is the gender of your child on the spectrum? Male Female Question Title * 2. What is the age of your child on the spectrum? Question Title * 3. Which of the following diagnoses best fits your child? Autism Spectrum Disorder (ASD) Aspergers ADD ADHD PDD-NOS Other (please specify) Question Title * 4. Is your child verbal or non-verbal? Verbal Non-verbal Question Title * 5. Which of the following do you currently use for sitter services? Check all that apply. Care.com Sittercity.com Family member Private babysitter (ex. neighbor kid or personal friend) Other (please specify) Question Title * 6. How often do you need a sitter? Never Once a week 2-3 times a month 4-6 times a month Other (please specify) Question Title * 7. On what occasion(s) do you hire a sitter? Check all that apply I need to run errands (ex. grocery shopping) Date night I need a break To attend another child’s event or activity (ex. sports, school activity, church, etc.) To attend an event or meeting but be assured my child is being cared for properly (ex. concert, church, school meeting, etc.) To provide stimulating time for my child or reinforce his/her regular professional therapy Other (please specify) Question Title * 8. What is the length of time for which you would hire a sitter? 1-2 hours 3-4 hours 4+ hours Other (please specify) Question Title * 9. What qualifications do you expect minimally in a sitter? (Check all that apply) Someone with general babysitting experience Someone with an affinity for children on the spectrum, experienced but may not be certified Someone presently studying in an ASD-related field Someone who works with children on the autism spectrum (professionally or non-professionally) Question Title * 10. How much do you currently pay for sitter services? $10-20/hour $15-20/hour $20-25/hour $25-30/hour Question Title * 11. Would you prefer a sitter that can implement a therapeutic/learning activity during time with your child? Examples may include activities such as a tablet/smartphone app, flash cards, a game, or reinforcement of your child’s regular therapy. Yes No Next
