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The Link between Age and the Frequency of Interactions with Children with Autism Spectrum

Disorder, and Perceptions of these Children Survey

Identification Questions
1. How old are you? _________________
2. What is your interaction with a child with Autism Spectrum Disorder?
a. I do not have interaction with a child with Autism Spectrum Disorder
b. I am a parent with a child with Autism Spectrum Disorder
c. I have a sibling with Autism Spectrum Disorder
d. I volunteer with children with Autism Spectrum Disorder
e. I have a friend or family member who is related to someone with Autism
Spectrum Disorder
f. I am a teachers aide in school for an autistic child
g. I am a teacher in a school.
ASD Perceptions
Rate these questions from 1 to 5, where a 1 rate means you Strongly Disagree, and a 5 rate means you
Strongly Agree. Please answer the questions as honestly and as completely as possible.

Children with autism and those without should not be taught in 1 2 3 4 5


separate classrooms.

Children with autism should be treated differently in a social 1 2 3 4 5


environment than other children that do not have autism.

People with Autism and people without should not be allowed to work 1 2 3 4 5
in the same work environments.

Children with autism should not be required to have a teachers aide 1 2 3 4 5


with them at all times in schools regardless of severity.

People with Autism and people without should be allowed to work in 1 2 3 4 5


the same work environments.

Children with autism should not be treated differently in a social 1 2 3 4 5


environment than other children that do not have autism.

Children with autism and those without should be taught in separate 1 2 3 4 5


classrooms.

Children with autism should be required to have a teachers aide with 1 2 3 4 5


them at all times in schools regardless of severity.

Children with Autism control their actions the same way children 1 2 3 4 5
without Autism.

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