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  1. Surveys
  2. 2017
  3. March
  4. P
  5. Parental Stress
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Questions marked with a * are required Exit Survey
 
 
* How old is your child?
   
 
 
 
* How many children do you have?
   
 
 
 
* Describe your relationship with your son/daughter (things you enjoy doing together, etc...)
   
 
 
 
* What is your greatest fear/worry with regards to your son/daughter?
   
 
 
 
* If you can remember, what were some of your initial stresses at time of diagnosis?
   
 
 
 
* Are your fears greater or less than they were at the time of first diagnosis?
   
 
 
 
* What support systems do you have in place?
   
 
 
Based on the following scale, 0-100, (100 being the highest level of stress), how would you rate the following in terms of your level of stress:
Academic achievement
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Friendships
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Future employment
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Future living arrangements
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Interpersonal relationships
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* How has having a child who has autism affected your relationships? With your spouse, your siblings/family, friends, co-workers, etc?
   
 
 
 
* What positive impact has your son/daughter had on your family dymanic?