Transition to Adulthood Parent Questionnaire
We need your help!  Special Kids Connect will be holding Transition to Adulthood conferences this fall families who have children and/or adults with disabilities / special needs.  We'd like your input on the types of workshops and resources that are important to our families.

If you have any questions, please feel free to contact Jose at 831-372-2730 ext. 103 or via email at
Para la encuesta en Español, precione este enlace: 
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Email *
First Name *
Last Name *
Street Address / P.O. Box *
City *
Zip Code *
Phone Number *
Would you like to receive texts at the above number from Special Kids Connect on news and upcoming events? *
Would you like to receive emails from Special Kids Connect on news and upcoming events? *
Please check all that apply: *
Primary language spoken at home. *
What is your language preference for workshops? *
Age/s of your child/ren or adult(s) with Special Needs. *
Race/Ethnicity *
Are you, your child or your family part of the San Andreas Regional Center (SARC)? *
Please rate your interest in the following Adult Transition topics *
Not interested at all / Does not apply to me
Somewhat interested
Extremely Interested
School District services
Postsecondary / College Educational Opportunities
Healthcare services
Housing Services
Regional Center Services
Independent Living Skills (ILS)
Voting rights
Limited Conservatorship / Guardianship options
Supplemental Security Income (SSI)
In-Home Supportive Services (IHSS)
Self - Determination
Transportation & Mobility Services
Social / Recreational Support
Puberty / Sexuality / Dating
Behavioral Health Services / Therapies for Adults
Supported Living Services (SLS)
Emergency Preparedness
Mental Health Services
ABLE Account / Special Needs Trusts
Selective Service (Military Draft) Registration
What areas / topics regarding the transition to adulthood are you most interested in getting information about?  Please be as specific as possible.
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