Bringing families, volunteers and professionals together to address the challenges of autism and to promote awareness of autism spectrum disorders
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02.09.2012
Family Support Meeting
02.21.2012
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02.23.2012
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02.26.2012
Ice Skating Event
03.24.2012
Resource Fair
03.28.2012
Disability Awareness Fair



Ansari Center for Autism



Visit logancenter.org

Berrien County Needs Assessment & Parent Interest Survey

The Sonya Ansari Center for Autism is a regional provider of supportive services to individuals on the autism spectrum and their families. We have been asked to develop services to be provided in Berrien County. Direct community feedback is the most effective way to identify service needs and to highlight any gaps in the current support networks. We are in the process of developing a confidential mailing list specific to Michigan families. Please complete this online survey, or mail a pdf version to the Sonya Ansari Center for Autism, 2505 E. Jefferson Boulevard, South Bend, IN 46615. If you have any questions, please email Lynn Sayre. Your assistance in helping us to better understand the needs and existing supports in Berrien County is greatly appreciated.
 

Please provide your email address

Identified Need

 Needed Not Needed Receiving Provider
Library and reference material source Yes No
Referral services to access available supports Yes No
Parent support group Yes No
Individuals on the spectrum support group Yes No
Educational and informational speakers and sessions Yes No
In-home Applied Behavior Analysis and support Yes No
In-home floortime parent training and support Yes No
Recreational programs specifically for individuals on the spectrum Yes No
Adolescents and adults life skills coaching Yes No
Individual or family counseling Yes No
Social interaction skills training Yes No
Other Needs

Demographics (for individual family member on the spectrum)
Name
Phone
Email address
Date of Birth (mm/dd/yyyy)
Gender (m/f)
Diagnosis
School

Guardian or parent information

Name
Phone
Email
Comments
Are you willing to volunteer if needed? Yes No
Are you interested in helping with fund raising? Yes No

Ansari Center for Autism
2505 E. Jefferson Blvd. • South Bend, IN 46615
(574) 289-4831
autismcenter@logancenter.org