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Printed from https://www.writing.com/main/handler/first_in/1/item_id/1948952-Survey-Hope-For-Autism-Support-Group-1
Rated: E · Survey Form · Family · #1948952
Support group for caregivers and/or friends of children with special needs.
Hope For Autism & ADHD Support Group Survey


This is a survey to determine how much interest there is in joining a support group designed specifically for caregivers to "Special Needs" children.

If you'd be interested in joining, please take a moment to fill out the survey below. *Down*

Multiple submissions allowed | (R) denotes a required field.
1.   Would you be able to take a role, small or large in helping run certain aspects of this group? (R)
        Large role
        Small role
        Member only
2.   What specific "Special Needs" categories would you like to see addressed in this new group? Language disorders, Autism, ADHD, seizures, Bipolar disorder, depression, anxiety or any other conditions which may affect your child.

3.   What type of information would you like to see in the forum? Latest treatments, therapies, educational etc. (R)
4.   Do you have any special skills regarding "Special Needs" children? Nursing, doctor, mental health profession, counseling, life-skills, teacher, etc' . (R)
5.   This User Agreement applies to all pages and/or items created for the Hope For Autism & ADHD Group:

Click to Read*Down*
      Check this box to agree with the above statement.
6.   Thank you for joining! We will be sending you more information and group links very soon! Please feel free to share any additional comments/suggestions here.

7.   This survey allows the sending of Gift Points.
      Thank you for your generous donation to Hope For Autism & ADHD!

      You have 0 Gift Points.
      Gift Points to send:
      Confirm Gift Points:
      (Minimum: 100 / Maximum: 1,000,000)
Important: Gift Points included will be sent to "Hope For Autism and ADHD Funds. Writing.Com will deduct a processing fee of 5%. Gift Points sent via this form are non-refundable.
*Note* Disclaimer: The information submitted will be sent to Beacon Is Writing✍️ . Do not submit anything private or confidential.


Printed from https://www.writing.com/main/handler/first_in/1/item_id/1948952-Survey-Hope-For-Autism-Support-Group-1