Special Needs Parent Group

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One of the biggest challenges families with children with special needs face is gathering the support needed to parent their kids. Thanks for sharing your wins and your challenges so we can better equip other families with special needs kids. The information you give will be kept confidential. While we may share general information, any specific info shared will only be done with the permission of the parent providing the info. Thank you.

We'd love your contact info so that we can contact you if we have questions about your responses. Your responses are confidential and will only be viewed by the leaders of this group. Please provide your first and last name, e-mail address, and phone number. *

Name

Spouse's name, if your spouse is also attending

E-mail address *

Phone number *

Please Check all that apply *

I have one child with special needs

I have more than one child with special needs

I have a child without special needs

Required

Check the age ranges of children currently in your home *

infant - one-year-old

two-year-old through four-year-old

five-year-old through eight-year-old

nine-year-old though twelve-year-old

thirteen-year-old through fifteen-year-old

sixteen-year-old through eighteen-year-old

eighteen-year-old through twenty-five-year-old

thirty-year-old through forty-year-old

Other:

Required

Please check all that apply to your child/children with special needs *

Genetic disorder

Chromosomal disorder

Down's syndrome

Fragile X

Angelman syndrome

Autism

Asperger syndrome

Attention deficit hyperactivity disorder

Epilepsy

Cerebral palsy

Learning disability

Emotional disturbance

Deafness/Hearing Loss

Visual Impairments

Traumatic Brain Injury

Sensory processing disorder

Other:

Required

How do you educate and involve your immediate and extended family in your child's special needs journey?

What is your biggest struggle? (Really, you don't have to be politically correct)

Any wins or suggestions around building a support team that you’d like to share with other special needs families?

What is your greatest support need right now – your biggest gap in support?

Any recommendations on professional support (therapists, advocates, etc. – please provide contact info for the provider)?

Anything else you'd like to share with us or other special needs families?

Thank you so much for taking the time to complete this survey.

That's all about you--now we'll need some information for childcare.

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