Survey Is a 501c3 educational organization, founded in 2016. Please Complete by November30th Please enable JavaScript in your browser to complete this form.We endeavor to serve members of our community that tend to fall through the cracks of support services due to developmental disabilities without intellectual disabilities. Your participation in this survey will help us to determine the needs in our community and allow us to plan for support groups for the person with the disability and their family and caregivers. We will keep your personal information private. Thank you for your participation!Person completing the survey *FirstLastEmail *Where are you located? (Select from the drop down menu)Frederick County, MDMontgomery County , MDCarroll County, MDHoward County, MDWashington County, MDNorthern VAWest VirginiaPensylvanniaOtherYour Zip CodeYour roleParent/Family memberCaregiverPerson with the DisabilityDoes your family have a plan in place for caregiving as your person with disability ages and/or outlives their current caregiver?YesNoThought about itDon't know where to startPlease provide us with your person with disability's first name, age, gender and diagnosis.( We realize that there are an array of diagnoses and we want to be sensitive to each individual's unique circumstances.) This will help us in forming support groups tailored to your family's needs.On a scale of 1 to 10 how satisfied are you with the support system you have in place? 1 = unsatisfied, 10= very satisfied Selected Value: 1 If you could create a system of support that met your needs, what would that look like?Where does the person with disability live?At Home/with familyIndependentlyA place with back-up support?A hybrid of living situationsOn a scale of 1 to 10, how interested would you be in attending a parent/caregiver support group? 1= not interested. 10= Very interested. Selected Value: 1 If we were to offer educational seminars relevant to parents/caregivers, what topics areas would appeal to you?Finances & Future PlanningCounselingLegal IssuesStress ManagementWhat types of activities does your person with disabilities like to participate in? ( We would like to schedule opportunities for social engagement when it is safe to gather in person sometime in the future.)Kitsune's long range plans include developing housing with supports for independent living. Would you be interested in following our progress on this topic?YesNoHow did you hear about this survey?Frederick Magazine articleKitsune WebsiteKitsune Facebook pageThrough a friendNot sureAdditional comments or suggestionsThank you for your participation!Submit