Form 0920 Enrollment Call Script and Second Follow-up Survey for S

[NCBDDD] The Study to Explore Early Development (SEED) Follow-up Study

Att 6b-d - Enrollment Call Script and 2nd FU of SEED 1 Caregivers

Review of Enrollment Call Script and Consent and Second Follow-Up Survey of SEED 1 Caregivers.

OMB: 0920-1392

Document [pdf]
Download: pdf | pdf
Form Approved
OMB No. 0920-xxxx
Exp. Date: xx/xx/xxxx

Attachments 6b-6d: Enrollment Call Script and Second Follow-up Survey for SEED 1 Caregivers

Public reporting burden of this collection of information is estimated to average 10 minutes per response, including the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing
the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of
information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other
aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer,
1600 Clifton Road NE, MS D-74, Atlanta, GA 30333: ATTN: PRA (0920-xxxx).

Reading level: 7.7

SEED Follow-up – Call Script for SEED 1 Caregivers (2nd Follow-Up)
SECTION A: Introduction
SECTION 1: Initial Contact
SECTION 1: NO ANSWER
Voicemail Script:
Hi, my name is [NAME] and I’m calling on behalf of the Centers for Disease Control and Prevention. I
am trying to reach [PARTICIPANT’S NAME]. I am sorry I missed you and will call you back later. You
are also welcome to call us, toll-free at . Thank you.
[TERMINATE CALL] [DOCUMENT CALL IN DATABASE]
SECTION 1: ANSWER
Contact Script:
Hi, my name is [INTERVIEWER’S NAME] and I’m calling on behalf of the Centers for Disease Control
and Prevention. May I please speak to [PARTICIPANT’S NAME]?
1. PARTICIPANT TEMPORARILY NOT AVAILABLE  CONTINUE TO A2
2. PARTICIPANT REACHED (CONTINUE)  GO TO A3
3. PARTICIPANT NO LONGER AT THIS NUMBER  GO TO A2.1
Participant Temporarily Not Available:
A2. I am sorry I missed [HER/HIM/NAME]. What is the best time to reach [HER/NAME]?
[SCHEDULE CALL BACK IN DATABASE]
Participant No Longer At This Number:
A2.1 Do you have [HER/HIS] contact information? [IF YES: THANK GATEKEEPER. UPDATE
DATABASE WITH NEW CONTACT INFO] [IF NO: THANK GATEKEEPER. END CALL].
SECTION A3: Introduction to the Study
A4. Hi, [PARTICIPANT’S NAME]. I am calling because you recently participated in the Study to Explore
Early Development or SEED Follow-up Study. We truly appreciate your previous contributions to SEED
and are excited about the things we are learning from that research.
We had mentioned that we may contact you to participate in additional parts of the study. For this next
part of the study, we are looking at changes in your child’s services, supports, and social participation
following exit from high school.
I would like to provide more information and describe the study in a little more detail. The call should
only take about 10-15 minutes to complete. Have I reached you at a convenient time?
YES [CONVENIENT TIME] .................................................................................... 1 [GO TO Section A6]
NO [NOT A CONVENIENT TIME] ............................................................................2 [GO TO Section A4]
NOT INTERESTED………………………………………………………………………3 [GO TO Section A5]
[IF RECEIVED CONTACT INFO FOR LEGAL GUARDIAN FROM GATEKEEPER START HERE]
Hello, May I speak with [LEGAL GUARDIAN NAME]?
My name is [INTERVIEWER’S NAME] and I’m calling on behalf of the Centers for Disease Control and
Prevention (CDC) regarding additional activities in the national research study called the Study to
Explore Early Development or SEED Follow-up Study. We spoke with [you/contact’s name] a few

weeks/months ago and you completed our survey. I would like to talk to you about another brief survey.
The call should only take about 10-15 minutes to complete. Have I reached you at a convenient time?
YES [CONVENIENT TIME] .................................................................................... 1 [GO TO Section A6]
NO [NOT A CONVENIENT TIME] ............................................................................2 [GO TO Section A4]
NOT INTERESTED……………………………………………………………………..3 [GO TO Section A5]
SECTION A4: Reschedule
A4. When would be a convenient time for you to receive a callback?
[TERMINATE CALL] [SCHEDULE CALL BACK IN DATABASE]
SECTION A5: Response to Refusals
[IF A REASON IS GIVEN FOR REFUSAL GO TO A5.a]
[IF A REASON IS NOT GIVEN FOR REFUSAL GO TO A5.b.]
SECTION A5.a: I understand you said …
RESTATE REASONS AND USE TELEPHONE INTERVIEW ING SKILLS TO ATTEMPT A
CONVERSION
SECTION A5.b: May I ask why you do not want to participate?
[INTERVIEWER: USE TELEPHONE INTERVIEWING SKILLS TO RESPOND TO REASON FOR
REFUSAL BY STATING THE BENEFITS]
SECTION A6: Quality Assurance
A6. Thank you! I would like to let you know that the call is being recorded for Quality Assurance
purposes. Are you in a place where you can talk safely on the phone?
YES ................................................ ................................... 1 [GO TO SECTION B]
NO .................................................... ................................. 2 [GO TO SECTION A4]
SECTION B: Description of Study
[FOR ALL RESPONDENTS]
We are asking you to participate in this part of the SEED Follow-up Study to learn more about
experiences and challenges faced by young adults after leaving high school. We want to learn more
about how services, supports, and activities changed after your child left high school. Your participation
in the study will help us better understand these changes and identify the types of services and supports
your child may continue to need after leaving high school.
It is important that we have parents of young adults with and without disabilities participate because it
will help us find clues about why some young adults have different experiences after leaving high school
than others.
Before we go over the details of the study and what you will be asked to do, would you mind if I ask you
a few questions to make sure this study is right for you and your child?
SECTION C: ELIGIBILITY SCREENING
Now I have a few questions to help us determine your eligibility.

March 2022

1a. Do you currently live with [CHILD]?

YES, All of the time ……………………….01[GO TO 1b]
YES, Part of the time………………………02 [GO TO 1b]
NO, None of the time………………………03 [GO TO 1b]

[If Respondent reports child is deceased express condolences, thank them for their time, END CALL.
GO TO AA.A]
1b. Is your child 18 years or older?

YES…………..01 [GO TO 1c.]
NO……………02 [GO TO 1d.]

1c. Are you still [CHILD’s] legal guardian?
YES…………..01 [GO TO 1d]
NO, someone other than me is legal guardian ……………02 [GO TO 2]
NO, CHILD IS A LEGAL ADULT ……………03 [GO TO 1d]
1d. Has your child exited high school?

YES…………..01 [GO TO 1e.]
NO……………02 [GO TO 1e.]

1e. What is [CHILD’S] current living situation? _______________________ [RECORD VERBATIM]
[IF NEEDED PROBE FOR RELATIONSHIP]
LIVES W/ BIOMOM……….. 01 [GO TO 1c.]
LIVES W/ BIODAD………….02 [GO TO 1c.]
LIVES W/ STEP PARENT……03 [GO TO 1c.]
LIVES W/ GRANDPARENT …..04 [GO TO 1c.]
LIVES W/ OTHER RELATIVE …….05 [GO TO 1c.]
LIVES W/ OTHER ……….05 [GO TO 1c.]
LIVES ALONE ……06 [GO TO 3b.]
LIVES IN DORM/APT/HOUSE WITH ROOMMATES
…… 07 [GO TO 3b.]
LIVES IN A RESIDENTIAL FACILITY…06 [GO TO 1d.]
LIVES IN A JUV JUS/JAIL……………08 [INELIGIBLE GO

TO AA.C]

FOSTER CARE…………..09 [INELIGIBLE GO TO AA.D]

2. Who is the child’s legal guardian?
FIRST NAME _______________________
LAST NAME _________________________
RELATION TO CHILD _______________________
2a. We would like to contact [CHILD’s] legal guardian to see if they might be interested in
participating in the follow-up study. Do we have your permission to contact the [CHILD’S LEGAL
GUARDIAN RELATIONSHIP, E.G. CHILD’S FATHER, CHILD’S GRANDMOTHER]?
YES……………………………….01 [GO TO 2b]
NO…………………………………02 [GO TO 2c]
2b. Can you provide [HIS/HER] contact information?
ADDRESS ____________________________

March 2022

PHONE NUMBER ________________________
EMAIL ADDRESS _______________________
DK CONTACT INFO……………. [Thank GK END CALL, GO TO 2c]
Thank you for your help. We appreciate your time. [END CALL]
2c. That’s fine, we understand. We would like to leave our contact information for you to pass on
to [CHILD’s] legal guardian if you change your mind. Would that be OK? [IF YES: give site
contact information, thank gatekeeper, END CALL. INELIGIBLE GO TO AA.B [Can re-status
family if receive call] IF NO: Thank gatekeeper for their time. END CALL. INELIGIBLE GO TO
AA.B].

SECTION D: STUDY STEPS OVERVIEW
You are eligible to participate in this part of the study. Next, I’d like to tell you some details about the
study so you can make an informed decision whether or not you would like to participate. This study
involves filling out a brief questionnaire about changes in your child’s services, supports, social
participation, and daily activities following their exit from high school. We estimate that it will take
approximately 10 minutes total to complete. You will receive a $5 gift card to thank you for your
participation in the study.
You may choose to complete the questionnaire online via a weblink. If you choose to complete the
questionnaire by web, we can email you a link to the survey.
If you prefer, you can also complete the questionnaire over the phone with a study team member. I can
set up a time for someone to call you back – or if you have time now, I could also complete the survey
with you now.
Do you prefer to complete the questionnaire online, or over the phone?
ONLINE……1 go to D.3
PHONE…….2 go to D.3
NEITHER….3 go to D.2
D.2 [ONLY OFFER IF PARTICIPANT INDICATES UNABLE TO COMPLETE BY WEB OR PHONE}
I am sorry that neither one of the options will work for you. Would you prefer to complete the
questionnaire by mail?
If YES, verify contact information and notify SEED site:
Address: __________________________________
Phone 1: ___________________________________
Phone 2: ___________________________________
Email: ____________________________________
D.3 Do you prefer to complete the survey in English or Spanish?
D.4 No matter how you complete the questionnaire, we will ensure you receive an information sheet for
you to keep – it provides information on your rights as a research participant and also gives information
about your participation in the SEED Follow-up Study. I can email a link for you to download this
information sheet – or take your address and mail you a copy.

March 2022

EMAIL…..1 record in database
MAIL….. 2 Notify original site to mail
If you choose to complete the questionnaire by paper, we will also send you a packet of materials that
contains:
• The questionnaire for you to fill out and mail back to us
• Prepaid envelope to mail the completed questionnaire back to us.
[READ TO ONLINE AND MAIL PARTICIPANTS]
If you find you have any questions about these forms as you complete them then you can call us. We
may also contact you to set up a time to speak with you if we need to clarify any of your responses.

SECTION E: VERBAL CONSENT TO ENROLL
Next, I will read the Verbal Consent regarding enrollment in this part of the SEED Follow-up Study.
Afterwards, I am required to ask you for your decision so we can document your verbal consent for our
records.
Your participation is voluntary. There is little risk in taking part in this study. You are free to skip any
questions that you do not want to answer or that make you uncomfortable. All answers that you give will
be kept private.
There is no personal benefit to you for taking part in the study. Your participation will help us understand
experiences after high school for different types of people. The results of the study may help us learn
more about how we can help individuals with ASD and other DD as they mature.
We understand that you may have concerns about your privacy. In order to protect the privacy of all
participants, CDC received a Certificate of Confidentiality. The Certificate of Confidentiality guarantees
that any information that is collected that could identify you or your child will be used only for this
project. It cannot be given to anyone else unless you give your written consent or unless otherwise
required by law. However, by law, we must report to the State if you tell us you are planning to cause
serious harm to yourself or others.
All answers that you give will be kept private. We will never use your name in any report. Information in
reports or scientific papers from this study will be including only information from study participants
combined together.
Rather than using your names, you will be given a study ID. The study ID will be recorded on all study
forms. When we use data from the study to do analyses, only the study IDs will be used and not names.
Only the necessary study staff will have access to your personal information.
If you have any concerns about the study, you may contact . If you have any
questions about completing the survey, you may contact . If you have questions
about your rights as a research participant, you can call the  at .
All of these contact numbers will be included in the packet we send you with information about the study
and your rights as a participant.
Again, I want to remind you that your participation in this research study is voluntary. You are allowed to
drop out of the study at any time without penalty. If you give your consent today, you can still decide at
any time that you do not want to participate. To withdraw from this study, you may contact . This number will also be included in the packet we send you.

March 2022

Now I need to ask for and document your verbal response to our request to consent.
ENROLLMENT CONSENT: Are you willing to enroll in this part of the study?
YES .................................................................................... 1 [GO TO SECTION F]
NO .......................................................................................2 [IS THERE ANY PARTICULAR REASON YOU ARE
NOT INTERESTED IN PARTICIPATING?] [SPECIFY __________________________________________]
Thank you! If you change your mind about participating, please call us at .
SECTION F: CONTACT INFORMATION
Thank you! Now I would like to verify your contact information.
Name: (First)_______________________ (Last) ______________________________________
Address: __________________________________
Phone 1: ___________________________________
Phone 2: ___________________________________
Email: ____________________________________
SECTION G: INCENTIVES
As I mentioned before, you will receive a $5 gift card to thank you for your participation in this part of the
study. Would you prefer an electronic gift card that will sent to you by email, or a physical card that will
be mailed to your address?
___ Electronic gift card
___ Physical gift card
SECTION H: ELIGIBILITY SCREENING FOR ADULT CHILD
One of the other additional study steps we may ask you to participate in is a questionnaire to be
completed by your adult child. The survey includes questions about changes in service use and needs
after high school exit. There are also questions about mental health, quality of life, gender identity,
sexuality, and romantic relationships. This information will help us learn more about experiences and
challenges faced by young adults after leaving high school. We want to learn more about individuals
with ASD and other DD as they mature so they can get the services and supports they need. After you
complete this questionnaire, we would like to contact your child to ask them about participating in this
part of the study.
Your child will have the option to refuse participation in this part of the study, or agree to complete the
questionnaires online or over the telephone with a study team member. If your child is unable to
complete the survey online or over the phone, but could do so by mail, we may offer your child this
option.
Based on the description of the study instruments your child will be asked to complete, do you feel that
your child would be able to complete them independently or with some assistance? Or do you believe
that your child would be unable to complete because of significant language or cognitive difficulties?

March 2022

__ Able to complete independently without assistance
__ Able to complete with some assistance
__ Unable to complete
[If child is able to complete questionnaire independently, ask for contact information for adult child.]
Name: (First)_______________________ (Last) __________________________
Address: __________________________________
Phone 1: ___________________________________
Phone 2: ___________________________________
Email: ____________________________________
If assistance is needed, ask if they wish to be present on the phone when CNI contacts adult child.
If assistance is needed and parent is still child’s legal guardian, ask if they would be ok if we set up a
call with them and their adult child so the legal guardian can provide consent on behalf of the adult child.
SECTION I: END CALL
Thank you for your time today.
If participant chooses to complete questionnaire online:
We will email you a weblink to complete the questionnaire online soon. The email will come from [CNI
email] with the subject “SEED Survey.” We will follow-up in about a week or so to make sure you
received the weblink and to answer any questions you may have. In the meantime, if you have any
questions, please call us at .
If participant chooses to complete questionnaire by phone:
Let’s go ahead and set up an appointment for us to complete the questionnaire with you by phone.
If participant chooses to complete questionnaire by mail:
You can expect to receive your packet in the mail soon. We will follow-up in about a week or so to make
sure you received the packet and to answer any questions you may have. In the meantime, if you have
any questions, please call us at .

AA. INELIGIBLE/REFUSAL REASONS:
A. CHILD IS DECEASED. [Document call]

March 2022

B. NO ACCESS TO LEGAL GUARDIAN. Unfortunately, your family is not eligible to participate. We
must have permission from [CHILD’s] legal guardian in order for your family to participate. Thank
you for your time. [END CALL]
C. CHILD CURRENTLY IN JUVENILE JUSTICE SYSTEM/JAIL. Unfortunately, your family is not
eligible to participate. Thank you for your time. [END CALL]
D. CHILD CURRENTLY IN FOSTER CARE. Unfortunately, your family is not eligible to participate.
Thank you for your time. [END CALL]
E. LEGAL GUARDIAN WHO IS NOT FAMILIAR WITH CHILD’S HEALTH, HEALTH CARE,
EDUCATION, AND CURRENT ACTIVITIES. Unfortunately, your family is not eligible to participate.
Thank you for your time. [END CALL].

March 2022

SEED Follow-Up Study: Second Follow-up Survey of Parents of
Young Adults (Parent-Report)
Contents
Exit from High School .............................................................................................................................................................. 2
Living Situation ........................................................................................................................................................................ 3
Daily Activities and Social Participation .................................................................................................................................. 4
Changes in Service Use and Need ........................................................................................................................................... 6
Vocational Support and Training ............................................................................................................................................ 8

1

A. Exit from High School

1. When did your child complete their high school education??

Month

Year

2. When your child left high school, did your child…
Receive a regular diploma
Receive an occupational diploma
Receive a certificate of completion
Take a test and receive a GED without completing all classes
Drop out or stop going
Get expelled (or suspended but did not return)
Other, specify: __________________________________
3. Since leaving high school, has your child…(check all that apply)
Attended a 2 year or community college
Graduated with a diploma, certificate, or license from a 2 year or community college
Attended a vocational, business, or technical school after high school
Graduated with a diploma, certificate, or license from a vocational, business, or technical school
Attended a 4-year college
Graduated with a diploma, certificate, or license from a 4-year college
Attended a graduate program (e.g., master’s or doctoral program)
Graduated with an advanced degree (e.g., master’s or doctoral degree)
4. Is your child currently enrolled in college or planning to attend college?
No
Yes, Part-time
Yes, Full-time

2

B. Living Situation

1. Where does your child currently live or what is your child’s current living situation (check only one)?
Independently (alone) with some assistance
Independently (alone) with no assistance
Independently (with spouse or roommate)
With parent(s) or foster parent(s)
With an adult family member who is not a parent (e.g., sibling, aunt, uncle, cousin, etc.)
Specify relationship: ____________
With a legal guardian who is not a family member
In a group home within the community
In a residential facility separated from the community
Other (Specify, please print): ____________________________)
2. How satisfied do you think your child is with the conditions of their living situation?
Very Dissatisfied
Fairly Dissatisfied
Neither Satisfied nor Dissatisfied
Satisfied
Very Satisfied

3

C. Daily Activities and Social Participation

1. Since leaving high school, has your child participated in:
Yes

No

Don’t
know

A sports team or taken sport lessons?







Any clubs or organizations?







Any other organized activities or lessons, such as music, dance or
language?







Any type of community service or volunteer work at school, church,
or in the community?







Any work, including regular jobs as well as babysitting, cutting grass,
or other occasional work?







2. IN THE LAST 6 MONTHS, how often does your child do any the following:
Never

At least
once

Every
other
month

Monthly

Weekly

Daily

Get together socially with friends or neighbors?













Call or text friends on the phone?













Use email, instant messaging, Skype, texting,
Facebook/Instagram/Snapchat messaging or
taken part in chat rooms?













Gotten together with ANY relatives, not including
those who live with you?













Gone to church, temple, or another place of
worship for services or other activities?













Gone to a show or movie, sports events, club
meeting, or another group event?













Gone out to eat at a restaurant?













3. DURING THE PAST MONTH, on how many days has your child done a total of 30 minutes or more of
physical activity, which was enough to raise their breathing rate? This may include sports, exercise, and
brisk walking or cycling for recreation or to get to and from places but should not include housework or
physical activity that may be part of their job.
Number of days of exercise during the past month: ____
4. ON AN AVERAGE WEEKDAY, about how much time does your child usually spend watching TV
programs or movies, including streaming services such as Netflix, Hulu, Apple+?
4

None
Less than 1 hour
1 hour
2 hours
3 hours
4 or more hours
I don’t know
5. ON AN AVERAGE WEEKDAY, about how much time does your child usually spend playing on an
electronic device? This does NOT include doing schoolwork or watching TV shows, movies, or videos on
YouTube/TikTok.
None
Less than 1 hour
1 hour
2 hours
3 hours
4 or more hours
I don’t know

5

D. Health & Health Care Service Use and Need

1. Which of the following best describes your child’s general health? Please mark ONE Box.
Excellent
Very good
Good
Fair
Poor
2. Since leaving high school, was there any time when your child needed health care, but it was not received? By
health care, we mean medical care as well as other kinds of care like dental care, vision care, and mental health
services.
Yes
No (Skip to Section E)
3. If yes, which types of care were NOT received? (Mark ALL that apply)

Dental Care
Hearing Care
Medical care, routine preventive
Medical care, routine sick or urgent care
Medical care, hospital emergency
Medical care, specialist
Medical services for diagnosis or evaluation related to a disability
Mental Health Services, counseling, or psychological services
Vision Care
Other, Specify _________
4. Which of the following contributed to your child not receiving needed healthcare services:
My child did not have health insurance that covered the services needed.
My child was not eligible for the services.
The services my child needed were not available in my area.
There were problems getting an appointment when my child needed one.
There were problems with getting transportation or childcare.
The (clinic/doctor’s) office wasn’t open when my child needed care.
There were issues related to cost.
There were concerns or issues related to being exposed to others with an illness
(e.g., concerned about being around others at doctor’s office who may have
been exposed to COVID-19, influenza, etc.)
Other, Specify:________________________
6

Yes








No
















E. Educational & Developmental Services

1. Since leaving high school, has your child received any of the services listed in the table below? Do
not include services/help received from family or friends.
Yes, received after
high school

No, did not
receive after
high school

If no, did your
child need this
service?

☐

☐

☐ Yes ☐ No

☐

☐

Financial aid, like paying for college classes or
training.
Educational assistance or tutoring.
Reader or interpreter, such as a sign language
interpreter.
Independent living or occupational therapy
(like help with doing things such as managing
money, cooking, or housekeeping).
Childcare services or parenting skills training.
Social work services.
Physical therapy.
Devices or assistive technology services (like a
special calculator, reading machine, or
communication device).
Other services (Please specify):

☐

☐

☐

☐

☐
☐
☐

☐
☐
☐

☐

☐

☐

☐

☐ Yes ☐ No
☐ Yes ☐ No
☐ Yes ☐ No
☐ Yes
☐ Yes
☐ Yes
☐ Yes

☐ No
☐ No
☐ No
☐ No

☐ Yes ☐ No

2. Overall, how satisfied have you been with all services your child has received since leaving high
school?
Very dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied
Satisfied
Very Satisfied

7

F. Vocational Support and Training

The next questions are about services or training your child might have received after high school exit to help them
find and/or keep a job.
1. After your child exited high school, did your child receive any of the following services? (Check all the apply)
Service

Yes

No

Don’t Know

☐

☐

☐

☐

☐

a.

Testing to find out your child’s work interests or abilities.

b.

Training in specific job skills, for example food services,
computer skills, or training for another kind of job.

☐

c.

Training in basic skills needed for work, like counting
change, telling time, or using transportation to get to work.

☐

☐

☐

d.

Career counseling, like help in figuring out jobs that might
best suit your child.

☐

☐

☐

e.

Help in learning how to search for available job positions
online, write a resume, or prepare for a job interview.

☐

☐

☐

f.

Job shadowing, such as visiting a workplace and watching
the way a job is done.

☐

☐

☐

g.

Apprenticeships or internships.

h.

Other services or training?
Specify: _____________________________

☐

☐

☐

☐

☐

2. Do you think your child is getting enough job or career training?
Yes
No
Don’t know
3. How useful do you think job or career training is in helping your child get a job?
Very useful
Somewhat useful
Not very useful
Not at all useful
Don’t know
4. Do you think your child needs job training or additional training that is not provided now?
Yes
No (Skip to question 6)
Don’t know (Skip to question 6)
5. What other kinds of job training or help do you think your child needs? (Check all that apply)
Testing to find out his/her/their work interests or abilities
8

☐

Training in specific job skills, for example food services, computer skills, or training for another kind of job
Training in basic skills needed for work like counting change, telling time, or using transportation to get to work
Career counseling like help in figuring out jobs your child might be suited to
Help in finding or applying for a job such as learning how to search for available job positions online, write a
resume, or prepare for a job interview
Job shadowing, visiting a workplace and watching the way the job is done
Apprenticeships or internships
Other, specify: __________________________
Don’t know
6. Guardianship gives a designated person the legal right to make certain decisions on behalf of an adult child.
Have you considered guardianship for your child?
Yes
No (Skip to end of survey)
7. If yes and your child is 18 years or older, have you obtained guardianship for your child?
Yes
No
8. If yes, what types of decisions does the guardian make for your child? (Check all that apply)
Healthcare
Housing
Finances
Daily activities
Plans for the future
Other specify:___________

You have reached the end of the survey.
Thank you for participating!

9


File Typeapplication/pdf
AuthorKloetzer, Joy
File Modified2022-09-01
File Created2022-09-01

© 2024 OMB.report | Privacy Policy