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Informant Interview and Focus Group Interest and Request for Information

Contact Information

We are so glad to hear of your interest in participating in a phone or web-based interview (i.e., informant interview) and/or a web-based conference call or live group meeting with other individuals (i.e., focus group). Participation in interviews and focus groups allows us to gather more information. This part of the process is essential to providing comprehensive feedback to the State and others with interest on where resources and services need to improve for individuals with ASD and the families, caregivers, providers, and community members that support them. 

If you have questions or concerns, please contact Drs. Naomi Swiezy and/or Tiffany Neal, coordinators of this project, directly at HANDS@iupui.edu or by leaving a message at 317-274-2697.

Thank you for your support of ASD in your community! 
1. Fill out your contact information:
Please note N/A where appropriate below. *This question is required.
2. Who is interested in participation and/or getting additional information? *This question is required.
  • * This question is required.
3. Will you be the contact person or who should we contact directly? *This question is required.
Please fill out the contact information for the individual or alternate contact.
Please note N/A where appropriate below.
4. Please note your preferred method for contacting you to schedule and/or share additional information about interviews and/or focus groups. Select all that apply *This question is required.
  • * This question is required.
5. I am interested in participation and/or would like more information about the following: *This question is required.
Space Cell I would like to participate in this.I would like more information about this.
Informant, individual interview
Focus group
6. I am available to participate on the following days and times:
Space Cell MondayTuesdayWednesdayThursdayFriday
Informant, individual interview
Focus group
7. In order to best schedule and plan for interviews and focus groups, please note your primary role. Select only one option.
Note: Your primary role will inform the interview and/or focus group type that we will be considering when scheduling. *This question is required.
Please describe your role in justice or public safety. *This question is required.
  • * This question is required.
Please describe your role as a school or education personnel *This question is required.
Please describe your role as a medical professional *This question is required.
Please describe your role as a community service provider. *This question is required.
  • * This question is required.
Please describe your role as a family member or caregiver. *This question is required.
8. Please indicate the region where you live and/or work based on what you noted as your primary role. 

Note: Your primary role will be used in scheduling and reporting participation.
Example (noting where you live): If you noted your primary role as a family member, please indicate the region where you live.
Example (noting where you work): If you noted your primary role as a medical professional, please note the region where you work. *This question is required.
Please select any Northeast Indiana county(ies) that apply.
Please select any Northwest Indiana county(ies) that apply.
Please select any North Central county(ies) that apply.
Please select any Central county(ies) that apply.
Please select any East county(ies) that apply.
Please select any Southeast county(ies) that apply.
Please select any Southwest county(ies) that apply.
9. Where did you hear about the information interviews and/or focus groups?
  • * This question is required.
  • * This question is required.
  • * This question is required.
  • * This question is required.
  • * This question is required.
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