Bravely Community Needs Survey

Bravely Community Needs Survey

Complete this survey to share community, child/family, school, adult, service, and access needs so Bravely can better understand what supports, groups, workshops, and partnerships would be most useful.
About You
Which best describes you?
What area do you live in or primarily serve?
How did you hear about this survey?
What age group(s) are you answering about?

Other
Child & Family Experiences
Which attention or executive-functioning experiences are a concern for your child or family?

Other
Which sensory, communication, or neurodivergent experiences are a concern for your child or family?

Other
Which emotional, behavioral, or relationship concerns are a concern for your child or family?

Other
Which body, movement, or physical-regulation experiences are a concern for your child or family?

Other
Does your child have any formal diagnoses or school eligibility determinations?

Other
How much are these concerns affecting daily family life?
School Experience
Current educational setting
Does the child currently have an educational support plan?
Overall school support
Communication between home and school
Which school-related concerns are present?

Other
How does the school respond to behavioral struggles?

Other
What school-related supports would be most helpful?

Other
Comfort navigating school supports, meetings, evaluations, IEPs, and 504 Plans
What should the school better understand or do differently?
Adult Experiences
Would you also like to answer questions about support you may need for yourself?
Adult attention/executive-functioning/neurodivergent experiences

Other
Emotional/relational/physical experiences

Other
How much do these concerns affect your daily life?

1

2

3

4

5

6

7

8

9

10

1 is Not at all, 10 is A great deal
Services You Would Actually Use
Which support services would you realistically use?

Other
Which body-based, developmental, or wellness services would you realistically use?

Other
Which practical executive-functioning supports would you realistically use?

Other
How interested are you in a coordinated network where Bravely connects families with trusted community partners?
Groups, Classes & Workshops
Which child or teen groups would your family be interested in?

Other
Which parent, caregiver, or family offerings would you use?

Other
Which adult or relationship offerings would you be interested in?

Other
What kind of experience would make you most likely to participate?

Other
What group, class, event, or workshop would you create for yourself or your family?
Access, Scheduling & Affordability
Preferred service delivery method

Other
Realistic times for you to attend

Other
Common barriers that make it harder to participate

Other
What matters most when choosing a service

Other
What price would feel realistic for a one-time 60–90 minute community workshop?
Which payment approach would make participation most realistic for an ongoing group?

Other
What Is Missing
What support is missing in your community?
What is the hardest part of finding or using support?
What should therapists, schools, medical providers, or community organizations better understand?
What other service, community partner, group, workshop, or practical support should Bravely explore?
Anything else you want to share?
How likely would you be to use or recommend a service that directly addressed your needs?
Should be Empty:

Bravely Community Needs Survey

About You

Child & Family Experiences

School Experience

Adult Experiences

Services You Would Actually Use

Groups, Classes & Workshops

Access, Scheduling & Affordability

What Is Missing