Parent-Support Needs Assessment
Share your experiences and preferences to help ACNM develop free resources for parents and caregivers.
Child and Caregiver
What is your child's age range?
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Please Select
0–2 years
3–4 years
5–6 years
7–9 years
What is your relationship to the child?
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Please Select
Parent
Grandparent
Legal guardian
Other caregiver
Other (please specify)
Please specify your relationship to the child
How confident do you currently feel managing challenging behaviors at home?
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Very confident
Somewhat confident
Unsure
Not very confident
Not confident at all
Behavior Challenges and Current Responses
Which behaviors or challenges would you like more support with? (Select all that apply.)
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Tantrums or emotional outbursts
Aggression (hitting, kicking, biting)
Self-injurious behaviors (hitting self, head banging)
Difficulty following instructions
Difficulty with transitions or changes in routines
Difficulty waiting
Refusal or resistance to activities
Yelling or screaming
Property destruction
Difficulty sharing or taking turns
Leaving a safe area or running away
Repetitive behaviors
Difficulty interacting with peers
Sleep-related challenges
Difficulty with personal care routines
Other
Of the challenges selected above, which THREE would you most like help with?
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Tantrums or emotional outbursts
Aggression (hitting, kicking, biting)
Self-injurious behaviors (hitting self, head banging)
Difficulty following instructions
Difficulty with transitions or changes in routines
Difficulty waiting
Refusal or resistance to activities
Yelling or screaming
Property destruction
Difficulty sharing or taking turns
Leaving a safe area or running away
Repetitive behaviors
Difficulty interacting with peers
Sleep-related challenges
Difficulty with personal care routines
Other
How often do these challenges occur?
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Multiple times daily
Daily
Several times weekly
Occasionally
Unsure
When do these challenges most commonly occur? (Select all that apply.)
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When asked to stop a preferred activity
When given an instruction or task
When unable to communicate a need
When access to a preferred item is denied
During transitions
When tired or needing rest
When hungry or thirsty
In noisy or busy environments
When waiting for something
During social interactions
When routines change
What do you typically do when your child engages in a challenging behavior? (Select all that apply.)
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Verbally redirect
Offer comfort or reassurance
Remove demands or change the activity
Offer another activity or item
Provide space to calm down while maintaining safety
Use a visual cue or schedule
Help the child name or communicate their needs
Seek support from another caregiver or professional
Other
What strategies have you already tried, and have any been helpful?
What do you think your child may be trying to communicate through the behavior?
Wanting an item or activity
Wanting to avoid or stop something
Wanting attention or interaction
Seeking or avoiding sensory experiences
Experiencing discomfort, frustration, or overwhelm
Wanting help or support
Needing a break or time alone
Other
Resource Preferences and Additional Input
Which skills would you like help teaching at home? (Select all that apply.)
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Requesting help
Asking for a break
Communicating wants and needs
Waiting appropriately
Following simple instructions
Tolerating changes in routine
Taking turns
Sharing materials
Transitioning between activities
Completing daily routines
Playing independently
Interacting with peers
Managing frustration
Other
Which educational video topics would be most helpful? (Select all that apply.)
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Understanding why behaviors happen
Responding to tantrums and emotional outbursts
Teaching communication instead of challenging behavior
Modeling appropriate redirection
Teaching replacement behaviors
Supporting transitions and changes in routine
Encouraging cooperation with daily routines
Teaching waiting and turn-taking
Using positive reinforcement
Helping children calm down
Building independent play skills
Supporting social interaction
Other
What video format would you prefer?
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Short demonstrations (2–5 minutes)
Detailed demonstrations (5–10 minutes)
Step-by-step tutorials
Real-life examples using role-play
A combination of formats
Would downloadable worksheets, visual supports, or step-by-step guides accompanying the videos be helpful?
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Yes
No
Maybe
What is ONE situation at home you wish you knew how to handle more effectively?
Is there anything else you would like ACNM to consider when developing these free parent resources?
Submit
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