Focus Group - March 12th
 
Focus Group - Parents of Children with ASD with Sound Sensitivities
Thank you for your interest in attending our focus group for caregivers of children with ASD who experience sound sensitivities.

The focus group will take approximately 2 hours. It will be held at the SFU Surrey campus, which is located in the Central City shopping center on King George boulevard. Catering consisting of sandwiches, wraps, and assorted refreshments will be provided. As a thank you for your time, we will provide attendees with a $25 gift card.

We request that only one parent/caregiver per family attend the focus group.

Date and Time: Thursday, March 12th from 6:00 pm to 8:00 pm

Contact Information: Troy Boucher, tboucher@sfu.ca, 778-782-6746

Q1 .     Please answer the following in the space below about the parent who will be attending:
First and Last Name :
Phone Number :
Email Address :
Relationship to child (e.g., mother) :
How did you hear about the Focus Group? :
Q2 .     Please briefly describe your child's sound sensitivities (i.e., what sounds they are sensitive to, and how these sensitivities may impact their daily life)
Q3 .     Please list any dietary restrictions or allergies below:

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