Share Your Journey With Us.
Please complete this form to share your experiences and consider being a guest on our podcast. Your insights can inspire and support other parents.
Welcome! I'm Dr. Beatrice Hector, an occupational therapist and the host of the 'Dr. Bea the OT' podcast, committed to providing support for parents of children with special needs. Your unique journey and experiences could inspire others. We're inviting individuals to anonymously share their stories on our podcast. Your insights, challenges, and triumphs can offer hope and guidance to those beginning their journey with a child who has special needs. The goal is to create a supportive community and lasting resource for parents facing similar challenges. By participating, you contribute not only to the wealth of information available but also to a sense of unity and shared strength within our community. Your privacy is paramount; you can share without revealing your identity. We focus on experiences, challenges, and strategies. If you're interested in participating, please let us know by completing this survey! Thank you for considering this opportunity.
Email Address
*
example@example.com
Are you a parent or guardian of a child with special needs?
Yes
No
I am a caregiver/other
What special needs does your child have?
Autism Spectrum Disorder (ASD)
ADHD
Sensory Processing Disorder
Down Syndrome
Cerebral Palsy
Learning Disabilities
Speech/Language Delays
Developmental Delays
Behavioral Challenges
Physical Disabilities
Other (please specify)
How would you rate your interest in participating in the "Dr. Bea the OT" podcast as a guest?
Very Interested
Somewhat Interested
Just Exploring
Not Sure Yet
Would you be comfortable sharing your experiences anonymously on the podcast?
Yes, completely anonymous
Yes, but I may share my first name
I would need more information before deciding
No, I prefer not to share anonymously
What topics would you be most interested in discussing on the podcast?
Navigating the diagnosis process
Finding the right therapists and services
IEP and school-related challenges
Emotional impact on the family
Strategies and tips that have worked for us
Advocacy for children with special needs
Balancing family life and caregiving
Financial and resource challenges
Building a support network
Other (please specify)
How did you hear about the "Dr. Bea the OT" podcast?
Please Select
Social Media
Friend or Family Referral
Google Search
Podcast Directory
School or Therapist Recommendation
Other
Is there anything else you would like us to know or consider regarding your potential participation on the podcast?
I understand that participation is voluntary, unpaid, and that my information will be kept confidential. I grant Dr. Bea the OT Podcast permission to share my story across podcast platforms and social media.
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