Resilience Research Form
I am researching the topic of resilience (the ability to deal effectively with adversity) and families with disability.  As part of this study, I am gathering input on what challenges families face and what helps them build resilience in the face of such obstacles.  Please take a moment to answer the questions below.  If you are willing to speak with me about your answers, please provide your name and contact info.  Otherwise, please share your feedback anonymously.

Thank you for your support of this study.  Truly grateful for your input.

--Kris Burbank

 
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Name (Optional)
What is the age of the individual in your family with a disability? *
What is your relationship to the individual? *
How old are you? *
Based on your life experience with your child, which of the following areas have been MOST difficult for you personally? (Please select no more than SIX.) *
Required
Which of the following have you dealt with MOST successfully?  (Please select no more than THREE.)   *
Required
What do you think has enabled YOU to develop the resiliency needed to manage life's challenges? Please be as specific as possible.
Which of the following challenges, if any, has your child experienced, at any age?  (Check all that apply.)   *
Required
E-Mail Address (Optional)
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