Family and Peer Mentoring
Caregiver and Sibling Support
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Email *
Phone Number *
Parent/Caregiver Name (First/Last) *
Child Name (First/Last) *
Date of Birth *
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OAP Reference Number *
1. How many children do you have? *
2. How many of your children are diagnosed with Autism Spectrum Disorder? *
3. What is the age(s) of your child(ren) with ASD? *
4. What is the age(s) of your child(ren) without ASD? *
5. Are you looking for help with how to explain your child’s diagnosis of Autism Spectrum Disorder to their siblings?
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6.   Would your children without an autism diagnosis benefit from learning how to discuss autism with friends?
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7. Would resources/workshop/clinic day about Autism Spectrum Disorder be beneficial to your child’s siblings?
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8. Are you looking for resources for your children to view on their own or with a clinician?
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9. Is addressing fairness and attention with your children something you would like to discuss strategies for?
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10. Are your children without the diagnosis struggling with difficult emotions about their sibling? Would understanding these emotions be helpful for you at home?
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11. Would you like to learn more about facilitating bonding and getting along between your children?
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12. Is there anything else you are looking for suggestions on?
A copy of your responses will be emailed to the address you provided.
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