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Autistic Adult Occupational Therapy Service Survey

Background: A working group of Occupational Therapists was created in 2021 as a result of the noted gap in Occupational Therapy (OT) services for Autistic adults in Newfoundland and Labrador.

Survey: Our group has proposed using a survey to capture data to show the need for OT service. We have developed a survey using Alchemer. The survey is designed so that individuals can complete the survey themselves or it can be completed by a health care provider and/or referring agency.

Target Population: Any Autistic adult in the province of NL who is seeking, or would avail of, Occupational Therapy services. Autistic adults would include individuals who are formally diagnosed with autism or self-identify as Autistic. We hope to distribute this survey within NL Health Services as well as key community stakeholders.

Timeline: We would like to collect data over the course of 12 months.

Why: We would like to use the data collected from this survey to advocate to NL Health Services and Government of NL for OT services specifically for Autistic adults.
 

THIS IS NOT A REFERRAL FORM. This survey is for data collection only.


This form uses underlined words, known as tooltips, to provide extra information. To view them, hover your mouse over the underlined text (or tap on mobile devices) to reveal the information.

Try this one out: I am a tooltip.This is the text that will display in the tooltip pop-up.

Please contact Meghan Mahoney (meghan.mahoney@nlhealthservices.ca) if you have any questions about this form.


Data collection is done through a private, password-protected Alchemer account accessible only to Evaluation Division staff. However, program management will be provided data so that they may use it form program planning purposes. Alchemer, an online survey platform hosted in Canada, has policies related to privacy and security that can be found here:  

https://www.alchemer.com/privacy/              
https://www.alchemer.com/security
This question requires a valid date format of MM/DD/YYYY.
calendar
2. Referring program: *This question is required.Please select all that apply.
3. Has this service been requested in the past? *This question is required.
4. Zone where adult resides: *This question is required.
5. Age of adult: *This question is required.
6. Gender identity of adult: *This question is required.
7. Autistic diagnosis status: *This question is required.
8. Other diagnoses (optional):Please select relevant categories and specify diagnoses in the Comments box below.
9. Main issue(s) for referral inquiry for OT service: *This question is required.Please select at most 3 options.