Join Auria's Beta Waitlist

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Name *

Parent's Email *

Child's Age *

Diagnosed ASD Level *

Level 1 – Mild

Level 2 – Moderate

Level 3 – High Support Needed

Don't know / not formally diagnosed

Verbal Ability *

Verbal

Limited Verbal

Non-verbal

Level of Functional Independence *

Independent

Needs Moderate Support

Needs Full Support

Your Child's Key Developmental Focus Areas *

Communication

Emotional Regulation

Social Interaction

Daily Living Skills

Motor / Sensory Skills

Other:

Required

Your Child's Therapy / Interventions *

ABA

Occupational Therapy

Speech Therapy

School-based Support

Home-based

Don't know

Other:

Required

Your Main Source of Funding *

Government Funding

Private Insurance

Self-Funded

School District

Other:

Which autism learning tools or apps does your child currently use (if any)? *

Speech/AAC app (e.g., Avaz, TouchChat, LAMP Words for Life)

Visual schedule or routine apps (e.g., Choiceworks, First-Then Visual Schedule)

Social stories or social-skills apps (e.g., Let’s Be Social, Social Story Creator)

Emotional regulation or “Zones of Regulation” apps

Educational or therapy-based games (e.g., Otsimo, AutiSpark, ABA Flash Cards)

Behavior tracking or reinforcement apps (e.g., Birdhouse, Behavior World)

General learning apps (e.g., Raz-Kids, Khan Academy Kids, Speech Blubs)

None currently

Other:

Required

What are your family’s biggest challenges right now? *

Emotional regulation or meltdowns

Communication or social interaction difficulties

Long waitlists for diagnosis or intervention

Finding or affording therapy/support services

Managing sensory sensitivities (noise, texture, crowds)

Parent or caregiver burnout / not enough time to take care for my child's needs

Managing daily routines (morning, bedtime, transitions)

Lack of school or community support

Other:

Required

What motivates or calms your child the most? *

Music or singing

Visuals, videos, or screens

Movement (e.g., swinging, jumping, dancing)

Sensory items (e.g., fidgets, weighted blanket)

Praise or encouragement from loved ones or teachers

Familiar routines or predictability

Time alone or in a quiet space

Favorite toys or characters

Interaction with family or other children

Don't know

Other:

Required

Which features of Auria interest you most? *

Emotional regulation (AI-companion)

Daily routine support (AI-companion)

Communication & social skill development app (AAC + AI)

School or therapy integration

Parent progress dashboard

Sensory-adaptive robot design

Other:

Required

Are there specific challenges you’d like Auria to help with?

By submitting this form, you consent to Auria Robotics contacting you with updates, pilot opportunities, and relevant resources. *

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