2025 Program Survey

Help us create services tailored to best fit the needs of you and your families! Please take a few minutes to fill out this survey. We will randomly select 5 individuals to receive a FREE individual/family annual membership for 2025 and one grand prize winner will be receiving a free $25.00 Visa gift card!

NO PURCHASE IS NECESSARY TO ENTER OR WIN. A PURCHASE WILL NOT INCREASE YOUR CHANCES OF WINNING. ALL FEDERAL, STATE, LOCAL, AND MUNICIPAL LAWS AND REGULATIONS APPLY. VOID WHERE PROHIBITED. The full promotion rules can be found at www.assew.org.

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* 1. What county do you live in?

Dodge

Dane

Kenosha

Jefferson

Milwaukee

Ozaukee

Racine

Walworth

Washington

Waukesha

Other - Please list county

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* 2. Do you or a member of your household have an Autism Spectrum Disorder (ASD)? Check all that apply

Yes - I have an ASD

Yes - child 5 or younger

Yes - child between 6 and 12

Yes - teen between 13 and 18

Yes - adult

Multiple family members

Family member with Autism does not live in my home

Yes - young adult 19-26

If no, what is your connection to ASD?

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* 3. What is your affiliation with Autism? Check all that apply

Educator

I am the parent of a child/children with an ASD

I have a grandchild, niece, or nephew with an ASD

I have a sibling with ASD

I have an Autism Spectrum Disorder

I have friends with Autism Spectrum Disorder

Mental Health professional

My Spouse has an ASD

Occupational Therapist or Physical Therapist

Pediatrician or family practice physician

Service provider

Speech Therapist

Other (please specify)

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* 4. What demographic of programs are you the most interested in for you and/or the individual you support?

Children (under 5)

Children (ages 6-12)

Teen (12-18)

Adult (18+)

Family (all ages)

Caregiver/Educator (workshops/classes for parents and those who work with individuals on the spectrum)

Support (support groups for parents and caregivers, adult professional group, etc.)

Other (please specify)

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* 5. Please rate the services that we provide for your children and teens in terms of how valuable they have been to you and your family.

	Extremely Valuable	Valuable	Nice to Have	Do not use
Bike Camp	Bike Camp Extremely Valuable	Bike Camp Valuable	Bike Camp Nice to Have	Bike Camp Do not use
SuperStars Saturdays/Art Camp	SuperStars Saturdays/Art Camp Extremely Valuable	SuperStars Saturdays/Art Camp Valuable	SuperStars Saturdays/Art Camp Nice to Have	SuperStars Saturdays/Art Camp Do not use
Sensory Friendly Vaccine Clinic	Sensory Friendly Vaccine Clinic Extremely Valuable	Sensory Friendly Vaccine Clinic Valuable	Sensory Friendly Vaccine Clinic Nice to Have	Sensory Friendly Vaccine Clinic Do not use
SOAR Air Travel Rehearsal Program	SOAR Air Travel Rehearsal Program Extremely Valuable	SOAR Air Travel Rehearsal Program Valuable	SOAR Air Travel Rehearsal Program Nice to Have	SOAR Air Travel Rehearsal Program Do not use
Sensory Friendly Community Outings (Museum visits, sports games, performances)	Sensory Friendly Community Outings (Museum visits, sports games, performances) Extremely Valuable	Sensory Friendly Community Outings (Museum visits, sports games, performances) Valuable	Sensory Friendly Community Outings (Museum visits, sports games, performances) Nice to Have	Sensory Friendly Community Outings (Museum visits, sports games, performances) Do not use
Change Champions School Program	Change Champions School Program Extremely Valuable	Change Champions School Program Valuable	Change Champions School Program Nice to Have	Change Champions School Program Do not use
Teen Social Groups	Teen Social Groups Extremely Valuable	Teen Social Groups Valuable	Teen Social Groups Nice to Have	Teen Social Groups Do not use
Teen Friday Night Hang-Outs at Concordia University	Teen Friday Night Hang-Outs at Concordia University Extremely Valuable	Teen Friday Night Hang-Outs at Concordia University Valuable	Teen Friday Night Hang-Outs at Concordia University Nice to Have	Teen Friday Night Hang-Outs at Concordia University Do not use
Teen Healthcare Hangout at Medical College of Wisconsin	Teen Healthcare Hangout at Medical College of Wisconsin Extremely Valuable	Teen Healthcare Hangout at Medical College of Wisconsin Valuable	Teen Healthcare Hangout at Medical College of Wisconsin Nice to Have	Teen Healthcare Hangout at Medical College of Wisconsin Do not use
Sensory Friendly Library Programs	Sensory Friendly Library Programs Extremely Valuable	Sensory Friendly Library Programs Valuable	Sensory Friendly Library Programs Nice to Have	Sensory Friendly Library Programs Do not use

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* 6. Please rate the caregiver/educator services that we provide in terns of how valuable they have been to you and your family.

	Extremely Valuable	Valuable	Nice to Have	Do not use
Phone Support	Phone Support Extremely Valuable	Phone Support Valuable	Phone Support Nice to Have	Phone Support Do not use
Online educational webinars	Online educational webinars Extremely Valuable	Online educational webinars Valuable	Online educational webinars Nice to Have	Online educational webinars Do not use
New to Autism Classes	New to Autism Classes Extremely Valuable	New to Autism Classes Valuable	New to Autism Classes Nice to Have	New to Autism Classes Do not use
Support Groups	Support Groups Extremely Valuable	Support Groups Valuable	Support Groups Nice to Have	Support Groups Do not use
Transition Series (TRAILS)	Transition Series (TRAILS) Extremely Valuable	Transition Series (TRAILS) Valuable	Transition Series (TRAILS) Nice to Have	Transition Series (TRAILS) Do not use
Urban Autism Summit	Urban Autism Summit Extremely Valuable	Urban Autism Summit Valuable	Urban Autism Summit Nice to Have	Urban Autism Summit Do not use
IEP Workshops	IEP Workshops Extremely Valuable	IEP Workshops Valuable	IEP Workshops Nice to Have	IEP Workshops Do not use

Other (please specify)

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* 7. Please rate the services that we provide to adults with ASD in terms of how valuable they have been to you.

	Extremely Valuable	Valuable	Nice to Have	Do not use
Phone Support	Phone Support Extremely Valuable	Phone Support Valuable	Phone Support Nice to Have	Phone Support Do not use
Advocacy/Legislative updates	Advocacy/Legislative updates Extremely Valuable	Advocacy/Legislative updates Valuable	Advocacy/Legislative updates Nice to Have	Advocacy/Legislative updates Do not use
SWAN Program	SWAN Program Extremely Valuable	SWAN Program Valuable	SWAN Program Nice to Have	SWAN Program Do not use
Community outings	Community outings Extremely Valuable	Community outings Valuable	Community outings Nice to Have	Community outings Do not use
Facebook group	Facebook group Extremely Valuable	Facebook group Valuable	Facebook group Nice to Have	Facebook group Do not use
Urban Autism Summit	Urban Autism Summit Extremely Valuable	Urban Autism Summit Valuable	Urban Autism Summit Nice to Have	Urban Autism Summit Do not use

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* 8. Rate areas of need for people with Autism and other disabilities by how important they are to you, to help us plan our advocacy efforts.

	Extremely Important	Important	Mildly Important	Not Important
Early screening for all babies for delays	Early screening for all babies for delays Extremely Important	Early screening for all babies for delays Important	Early screening for all babies for delays Mildly Important	Early screening for all babies for delays Not Important
Access to birth to 3 services	Access to birth to 3 services Extremely Important	Access to birth to 3 services Important	Access to birth to 3 services Mildly Important	Access to birth to 3 services Not Important
Educational advocacy	Educational advocacy Extremely Important	Educational advocacy Important	Educational advocacy Mildly Important	Educational advocacy Not Important
Education for faith communities on inclusivity	Education for faith communities on inclusivity Extremely Important	Education for faith communities on inclusivity Important	Education for faith communities on inclusivity Mildly Important	Education for faith communities on inclusivity Not Important
Availability of healthcare, dental care, mental health care	Availability of healthcare, dental care, mental health care Extremely Important	Availability of healthcare, dental care, mental health care Important	Availability of healthcare, dental care, mental health care Mildly Important	Availability of healthcare, dental care, mental health care Not Important
Training for mental health providers	Training for mental health providers Extremely Important	Training for mental health providers Important	Training for mental health providers Mildly Important	Training for mental health providers Not Important
Training for first responders including but not limited to EMS, police, fire	Training for first responders including but not limited to EMS, police, fire Extremely Important	Training for first responders including but not limited to EMS, police, fire Important	Training for first responders including but not limited to EMS, police, fire Mildly Important	Training for first responders including but not limited to EMS, police, fire Not Important
Housing	Housing Extremely Important	Housing Important	Housing Mildly Important	Housing Not Important
Employment	Employment Extremely Important	Employment Important	Employment Mildly Important	Employment Not Important
Home and community services	Home and community services Extremely Important	Home and community services Important	Home and community services Mildly Important	Home and community services Not Important
Transportation	Transportation Extremely Important	Transportation Important	Transportation Mildly Important	Transportation Not Important

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* 9. What is your general availability or preference for programs and activities?

	Weekdays	Fridays	Saturdays	Sundays
Mornings	Mornings Weekdays	Mornings Fridays	Mornings Saturdays	Mornings Sundays
Afternoons	Afternoons Weekdays	Afternoons Fridays	Afternoons Saturdays	Afternoons Sundays
Evenings	Evenings Weekdays	Evenings Fridays	Evenings Saturdays	Evenings Sundays

Other (please specify)

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* 10. Would you be interested in any of these potential new services? (select all that apply)

Activities for parents of newly diagnosed children waiting for therapy

Game nights or creative activities for teens via zoom

In person game nights or creative activities for teens

Workshops to learn new skills (cooking classes, computer skills)

Coping with stress

Movement opportunities (dance, exercise)

Drama and theater

Creative arts - painting, drawing, etc.

STEM Workshops (Science, Technology, Engineering, and Math)

Community Outings (Museum visits, sports games, performances)

Other (please specify)

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* 11. We understand that consistency can be helpful for our community, for a series of classes/workshops, how frequently would you like the sessions?

One time session - try a lot of different things!

2/3 week “camp” model with multiple sessions a week

Twice a month

Monthly session

Other (please specify)

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* 12. Would you be interested in more virtual program opportunities?

Yes

Comments

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* 13. Research has found that individuals on the Spectrum often have difficulty finding opportunities for exercise and movement. Would you or the individual you support be interested in exploring dance as a form of fitness?

Yes

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* 14. If yes, which forms are you most interested in learning? (Select all that apply)

Classical Ballet (as seen in the “Nutcracker”)

Contemporary Ballet (Think “So You Think You Can Dance”)

Barre (dance fitness using the ballet bar and other equipment)

Dance Fitness

Yoga

Traditional sports (Basketball, Hockey, etc)

Other (please specify)

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* 15. What is your current dance/fitness level?

Beginner

Intermediate

Advanced

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* 16. As we think of doing more theater and dance-based programming, would you be interested in participating in a performance?

Yes

Maybe

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* 17. In 2024, what were some of your favorite programs you participated in?

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* 18. Are there any Autism related services/needs that are not being met for you and your family? If so, please provide some examples.

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* 19. What services/programs would you like to see us offer that we currently are not?

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* 20. Which social media outlets do you actively use? (Check all that apply)

Facebook

Linked in

Instagram

Twitter

None

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* 21. Would you consider serving as a volunteer? (select all that apply)

Provide leadership on a committee or board of directors

Plan or assist with social events for families

Serve on a committee to host or plan a fundraiser

Contact medical professionals in our community

Work on advocacy or legislative issues

Staff a display at a community event

Help with projects in our office

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* 22. Please provide your name and email to be included in the prize drawing!

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* 23. Can we contact you for additional information as well as share survey results?

Yes - Please add your correct information below.

No - Thank you for providing us this valuable feedback!

If yes, please include your name, address, phone and email.