Dit bestand kan niet worden geopend, omdat JavaScript niet aanstaat in je browser. Zet JavaScript aan en laad het bestand opnieuw.
Questionnaire for refugees and their families with a diagnosis of autism spectrum disorder
Log in bij Google
om je voortgang op te slaan.
Meer informatie
* Verplichte vraag
E-mailadres
*
Je e-mailadres
E-mail address
*
Jouw antwoord
Do you have ID cards?
Yes
No
Selectie wissen
What language do you speak?
Jouw antwoord
Where are you? If you haven't crossed the Hungarian border yet, can you get there and where exactly are you arriving at?.
Jouw antwoord
1. At what age was the child / adult diagnosed with autism spectrum disorder?
Jouw antwoord
2. Are there any other associated disorders?
Yes
No
Selectie wissen
3. Does he/she have an associated health problem? (e.g. epilepsy)
Yes
No
Selectie wissen
4. Did he/she see a doctor regularly? (e.g. psychiatrist)
Yes
No
Selectie wissen
5. Does the adult /child take any medicine?
Yes
No
Selectie wissen
6. If so, what medicine, in what dosage?
Jouw antwoord
7. Does he/she have food allergy?
Yes
No
Selectie wissen
8. If so, for what?
Jouw antwoord
9. Does he/she react sensitively to sounds and noises?
Yes
No
Selectie wissen
10. What does he/she do then?.
Jouw antwoord
11. Does he/she react sensitively to crowd, several people around you?
Yes
No
Selectie wissen
12. What does he/she do then?
Jouw antwoord
13. Is he/she sensitive to change?
Yes
No
Selectie wissen
14. What does he/she do then?
Jouw antwoord
15. Is self-harming behaviour typical?
Yes
No
Selectie wissen
16. If so, in what form?
Jouw antwoord
17. Is aggression towards other people typical?
Yes
No
Selectie wissen
18. If so, in what form?
Jouw antwoord
19. Is the child / adult toilet-trained?
Yes
No
Selectie wissen
20. How does the child / adult communicate (with words, gestures, pictures)?
Jouw antwoord
21. How much does s/he understand instructions?
Jouw antwoord
22. Does s/he need help?
Yes
No
Selectie wissen
23. Does s/he have a problem with eating? (e.g. only eats certain foods)
Yes
No
Selectie wissen
24. Does s/he have a problem with sleeping? (e.g. having difficulty sleeping, waking up several times a night)
Yes
No
Selectie wissen
25. Do they use noise protection? If so, could they bring this with them?
Jouw antwoord
26. Do they use communication cards? If so, could they bring this with them?
Jouw antwoord
27. Do they use an agenda? If so, were they able to bring this with them?
Jouw antwoord
28. Do you use a tablet (for communication, leisure)? If so, were they able to bring this with them?
Jouw antwoord
29. Are flowcharts used to perform an activity? If so, were they able to bring with them what they needed?
Jouw antwoord
30. What school did the child go to in their place of residence? (special or majority school)
Jouw antwoord
31. What development / special care did the child receive at their place of residence?
Jouw antwoord
32. What grade does s/he take?
Jouw antwoord
33. How does the child / adult spend his / her free time?
Jouw antwoord
34. Were they able to provide him with the means to spend his free time usefully? (puzzle, lego, book, tablet, colouring, etc.)
Jouw antwoord
35. How does a child / adult bear it if you are accommodated in a multi-occupancy accommodation?
Jouw antwoord
36. Is there anything else you think your helpers need to know?
Jouw antwoord
37. What do you think is the hardest thing to expect help in right now?
Jouw antwoord
38. Would you like to receive more information from parents and professionals about autism-care in Hungary?
Jouw antwoord
Verzenden
Formulier wissen
Verzend nooit wachtwoorden via Google Formulieren.
Dit formulier is gemaakt in Autisták Országos Szövetsége.
Misbruik rapporteren
Formulieren
