Well-being Survey for Parents of Autistic Children
You are invited to participate in a study of how personality characteristic and autism symptoms of your child impact your well-being and mental health. You are selected as a potential participant for this study because you are a parent of a child between age of 4 and 15 diagnosed with autism. The study will help us improve the quality of life and parenting ability for mothers and fathers of autistic children who are primary caregivers for these children in our society.  The survey consists of several structured questions and participation is voluntary.  For any query you can contact me at sfarhan4@live.utm.my
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Informed Consent
In this survey you are asked questions regarding your perspective and experiences of your child’s disability and how it effects your life. There are certain question that judge your personality, emotions, satisfaction,  your ability to handle the situation and how you perceive this situation. There are various demographic questions as well. If you have more than one autistic children, answer questions relevant to one with more severe symptoms.
The survey will take approx. 30 min of your time.
Risk:
there are no known risks linked with the study, although it is quite possible that you may not feel comfortable answering all questions. In this case you may skip the question or if you wish you may withdraw any time
Benefits:
the study will help us improve the quality of life and parenting ability for parents of autistic children who are primary caregivers for these children in our society. With the results of this research we can identify factors which can make parents  less stressful, more satisfied and emotionally positive thus making them capable of transferring these benefits to their children with positive upbringing and improving their quality of life in turn.
Confidentially:
Please remember that all the survey data will be completely anonymous and will be kept secret.  The information used in research will be collective and there is no way anyone else is able to identify a single person from the data used in research.
Consent:
I understand that my participation is voluntary. I have read and fully understand the informed consent. By filling out the survey form below I give my approval to participate in the study.

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Demographics
These are some general questions about your self, your family and your autistic child.
Country, State
Your Relationship with the Child
Clear selection
Your age (year approx)
Educational Level
Job Status
Clear selection
If employed what are your weekly working hours?
If employed specify your occupation
Are you the primary care taker of the child from family?
Clear selection
Your marital status?
Number of Family members currently living at  home?
Total Number of children?
Children with autism disorder?
Clear selection
Age of autistic child?
Age diagnosed with Autism?
What is the functioning level of your child with an Autistic Spectrum Disorder?
Clear selection
Any other diagnosis your child has received other than Autistic Spectrum disorder?
Number of hours to be spend with Autistic child daily?
What is most stressful part of parenting a child who is autistic?
Is your child currently attending an institution?
Clear selection
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