The Autism Society of South Carolina [affectionately known as “SCAS”] requests your assistance by completing this survey to help the organization best organize plans for future services of interest. The purpose of this survey is to gather information from parents, self-advocates, and those in the Autism community, to address training, services, and other support needs. Thank you for completing this survey!
1. How can SCAS best serve you in your community? (Select all that are applicable). Please rank in order of importance in the box listed after the title.
Rows
Interested
Priority Rating
Information and Referral Services
1
2
3
4
5
6
7
8
Lifespan Planning
1
2
3
4
5
6
7
8
Outreach Services
1
2
3
4
5
6
7
8
Partnering to Host Walks or 5K Events
1
2
3
4
5
6
7
8
Specific Training Request
1
2
3
4
5
6
7
8
Understanding Applying for Medicaid and TEFRA
1
2
3
4
5
6
7
8
Understanding Our Services
1
2
3
4
5
6
7
8
Understanding SCDDSN Eligibility Process
1
2
3
4
5
6
7
8
Additional Community Information
2. What region within the State of South Carolina do you reside in? (Check only one).
Rows
Region
Coastal / Lowcountry
Midlands
Pee Dee
Piedmont / Upstate
Additional Demographics Information
3. What is the city or town and zip code in which you and your family reside in? Please record on the line the requested information for the region that you previously selected in number 2).
Rows
City / Town
Zip Code
Additional County of Residence Information
4. Which support group(s) would you like SCAS to offer? (Please check all that apply to your interest of needs). Also please rank in order of importance.
Rows
Interested
Priority Rating
Adults on the Spectrum
1
2
3
4
5
6
7
Bilingual Support Groups
1
2
3
4
5
6
7
Dad/ Father Support Group
1
2
3
4
5
6
7
Kids Support Group (8 to 12 years of age
1
2
3
4
5
6
7
Parent Support Groups
1
2
3
4
5
6
7
Sibling Support Groups
1
2
3
4
5
6
7
Teens Support Groups
1
2
3
4
5
6
7
Additional Support Groups Information
5. Which of the following services would you be interestedin as a parent or self advocate? (Pleasecheck all that apply to your interest of needs.). Please also rank in order of importance inthe box listed after the title.
Rows
Interested
Priority Rating
Information and Referral Services
1
2
3
4
5
6
7
8
Lifespan Planning
1
2
3
4
5
6
7
8
Outreach Services
1
2
3
4
5
6
7
8
Partnering to Host Walks or 5K Events
1
2
3
4
5
6
7
8
Specific Training Request
1
2
3
4
5
6
7
8
Understanding Applying for Medicaid and TEFRA
1
2
3
4
5
6
7
8
Understanding Our Services
1
2
3
4
5
6
7
8
Understanding SCDDSN Eligibility Process
1
2
3
4
5
6
7
8
Additional Services Information
6. What is the age range of your child[ren]? (Please check the appropriate age range box(es).
Rows
Years of Age
3-9
10-15
16-21
22-27
28-33
34-39
40-45
46-51
52-57
58 & older
7. Which Training Classes/Workshops would you be interested in attending? (Please check all that apply.). Please also rank in order of importance in the box listed after the title.
Rows
Interested
Priority Rating
Autism 101
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
New to Autism – How to Get Started
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Best Practices for Persons with ASD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Behavior Intervention Plans [BIP’s]
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Community Training
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Developing Communication Plans
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Developing Social Skills Plans
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Developing Visual Supports
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Essential Teaching Techniques
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Individualized Education Plans (IEP’s)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
504 Plans
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Parent Training
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Transitioning
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Understanding and Addressing Challenging Behaviors
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Understanding Case Management
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Understanding Parent-School Partnership Program
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Additional Trainings of Interest Information
8. What would be an appropriate day and time for you to participate in SCAS’ training classes/workshops?
Rows
Check Here
Monday (6:00 p.m.-8:00 p.m.)
Tuesday (6:00 p.m.-8:00 p.m.)
Wednesday (6:00 p.m.-8:00 p.m.)
Thursday (6:00 p.m.-8:00 p.m.)
Friday (6:00 p.m.-8:00 p.m.)
Saturday (10:00 a.m.-12:30 p.m.) or □ Saturday (1:00 p.m.-3:30 p.m.)
Additional Training Times Information
9. What services listed in number [5] and training in number [7] are occurring and/or being offered in your region? Refer to numbers 5 and 7 to refresh you rmemory if needed. (Please record your response(s) in the space listed below.)
Additional Services and Training Information
10. What would be your preferred method for us to conduct our training classes/workshops? (Please select all that are applicable.). Please also rank in order of importance in the box listed after the title.
Rows
Check Here
Priority Rating
Google Meets
1
2
3
4
5
In Person
1
2
3
4
5
Microsoft Teams
1
2
3
4
5
Zoom
1
2
3
4
5
Webinars
1
2
3
4
5
Additional Training Avenues Information
11. Which social media platform(s) do you actively use? (Please select all that are applicable.)
Rows
Check Here
Facebook (Meta)
Instagram
X (formerly known as Twitter)
LinkedIn
Zoom
Additional Social Media Outlets Information
12. What are some other program services and/or supports of interest that have not been mentioned in this survey? (Please record your response(s) in the space listed below.)
Additional Program Services/ Supports Information
Submit
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