Service Offering Survey to help children with unique abilities navigate the community, to develop to their potential Question Title * 1. What age is your child? Question Title * 2. Does your child have a diagnosis which affects their ability to perform academically, physically or socially? Question Title * 3. How satisfied are you that your child is developing to their potential? Very Dissatisfied Dissatisfied Undecided Satisfied Very Satisfied Academically Academically Very Dissatisfied Academically Dissatisfied Academically Undecided Academically Satisfied Academically Very Satisfied Socially Socially Very Dissatisfied Socially Dissatisfied Socially Undecided Socially Satisfied Socially Very Satisfied Making vocational/ career choices Making vocational/ career choices Very Dissatisfied Making vocational/ career choices Dissatisfied Making vocational/ career choices Undecided Making vocational/ career choices Satisfied Making vocational/ career choices Very Satisfied Physically Physically Very Dissatisfied Physically Dissatisfied Physically Undecided Physically Satisfied Physically Very Satisfied Gaining Life Skills (hygiene, diet, budgeting) Gaining Life Skills (hygiene, diet, budgeting) Very Dissatisfied Gaining Life Skills (hygiene, diet, budgeting) Dissatisfied Gaining Life Skills (hygiene, diet, budgeting) Undecided Gaining Life Skills (hygiene, diet, budgeting) Satisfied Gaining Life Skills (hygiene, diet, budgeting) Very Satisfied Engaging in hobbies and extracurricular activities Engaging in hobbies and extracurricular activities Very Dissatisfied Engaging in hobbies and extracurricular activities Dissatisfied Engaging in hobbies and extracurricular activities Undecided Engaging in hobbies and extracurricular activities Satisfied Engaging in hobbies and extracurricular activities Very Satisfied Question Title * 4. How helpful have these resources been in helping your child achieve their developmental goals: Not at all Helpful Somewhat Helpful Extremely Helpful I haven’t used this resource although it’s available in my area I would try this resource if it were available in my area. School Services School Services Not at all Helpful School Services Somewhat Helpful School Services Extremely Helpful School Services I haven’t used this resource although it’s available in my area School Services I would try this resource if it were available in my area. Medical professionals (e.g. specialists, therapists) Medical professionals (e.g. specialists, therapists) Not at all Helpful Medical professionals (e.g. specialists, therapists) Somewhat Helpful Medical professionals (e.g. specialists, therapists) Extremely Helpful Medical professionals (e.g. specialists, therapists) I haven’t used this resource although it’s available in my area Medical professionals (e.g. specialists, therapists) I would try this resource if it were available in my area. Public Programs Public Programs Not at all Helpful Public Programs Somewhat Helpful Public Programs Extremely Helpful Public Programs I haven’t used this resource although it’s available in my area Public Programs I would try this resource if it were available in my area. Charitable Organizations Charitable Organizations Not at all Helpful Charitable Organizations Somewhat Helpful Charitable Organizations Extremely Helpful Charitable Organizations I haven’t used this resource although it’s available in my area Charitable Organizations I would try this resource if it were available in my area. Special Interest Groups Special Interest Groups Not at all Helpful Special Interest Groups Somewhat Helpful Special Interest Groups Extremely Helpful Special Interest Groups I haven’t used this resource although it’s available in my area Special Interest Groups I would try this resource if it were available in my area. Professional Services (e.g. lawyers, advocates) Professional Services (e.g. lawyers, advocates) Not at all Helpful Professional Services (e.g. lawyers, advocates) Somewhat Helpful Professional Services (e.g. lawyers, advocates) Extremely Helpful Professional Services (e.g. lawyers, advocates) I haven’t used this resource although it’s available in my area Professional Services (e.g. lawyers, advocates) I would try this resource if it were available in my area. Support from our Family Support from our Family Not at all Helpful Support from our Family Somewhat Helpful Support from our Family Extremely Helpful Support from our Family I haven’t used this resource although it’s available in my area Support from our Family I would try this resource if it were available in my area. Question Title * 5. How closely do the assessments of your child’s potential and progress expressed by others match your own assessment: Significantly Different They differ somewhat Neutral We mostly agree Complete Agreement Academic Officials Academic Officials Significantly Different Academic Officials They differ somewhat Academic Officials Neutral Academic Officials We mostly agree Academic Officials Complete Agreement Medical Professionals Medical Professionals Significantly Different Medical Professionals They differ somewhat Medical Professionals Neutral Medical Professionals We mostly agree Medical Professionals Complete Agreement Professional Service providers Professional Service providers Significantly Different Professional Service providers They differ somewhat Professional Service providers Neutral Professional Service providers We mostly agree Professional Service providers Complete Agreement Activity Directors (private or public) Activity Directors (private or public) Significantly Different Activity Directors (private or public) They differ somewhat Activity Directors (private or public) Neutral Activity Directors (private or public) We mostly agree Activity Directors (private or public) Complete Agreement Family Members Family Members Significantly Different Family Members They differ somewhat Family Members Neutral Family Members We mostly agree Family Members Complete Agreement Question Title * 6. What services would be helpful to you in helping to set and work towards goals on behalf of your child? Ongoing collaboration to support and adjust my child's goals Reviewing documents for clarity Short-term support to collaborate with other groups about my child's goals Referrals to appropriate and reputable services and programs Consultation to develop appropriate goals for my child's development Other (please specify) Question Title * 7. What would you expect to pay for services like these? Ongoing collaboration to support and adjust my child's goals as needed Reviewing documents for clarity Short term support to collaborate with other groups about my child's goals Referrals to appropriate and reputable services and programs One-time consultation to develop appropriate goals for my child's development Question Title * 8. Which ways would you prefer to communicate with a service provider about your child's development? Not at all As needed Occasionally Most of the Time Email Email Not at all Email As needed Email Occasionally Email Most of the Time Phone Phone Not at all Phone As needed Phone Occasionally Phone Most of the Time In Person In Person Not at all In Person As needed In Person Occasionally In Person Most of the Time Teleconference Teleconference Not at all Teleconference As needed Teleconference Occasionally Teleconference Most of the Time Question Title * 9. What would make you more likely to use services like these?? Done