phone: (413) 570-5966 * email: fasdfamilies@gmail.com

FAFASD

Families Affected by Fetal Alcohol Spectrum Disorder

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FASD Roadmap

Thanks so much for participating in my project! This form is intended to be a pre-interview questionnaire for folks who’ve agreed to be interviewed for my book project, The FASD Roadmap. If you’re on this page you should have been sent a Permissions form and we should have already exchanged emails. If you are on this page and those things have NOT happened, but you’d like to participate, please email me at fasdfamilies@gmail.com

~Adrienne

Your name *

First

Last

Email *

Names and ages of child(ren) who have an FASD:

What's your relationship to the children in your care who are impacted by FA exposure? Birthparent, Adoptive, Foster, Kinship Care, other?

How should I identify you in the book?

Use our real names (first name only)
Use made-up names

State/Province/Country of residence?

Is/are your child(ren) diagnosed? At what age was he/she/they diagnosed?

Have you had any training in the “NB” or neurobehavioral approach? Other FASD training?

Has/have your child(ren) had a neuropsych evaluation done?

Briefly, what are ways in which your child(ren)’s FA exposure impacts his/her/their lives?

What kind of FASD-informed supports do you or your child(ren) with FASD have outside the home?

In the book I want to give lots of examples and illustrations of how the FASD symptoms present, as well as anecdotes about ways families and outside support have accommodated and supported those needs. Check the areas where you can think of a specific, real-life example of how the following brain difference presents itself in your child(ren). You don’t need to give examples - that’s what we will be talking about when I interview you.

developmental differences
executive functioning differences
sensory processing difficulties
slow processing
memory difficulty
speech/language difficulties
visual/spatial difficulties
abstract reasoning
mood regulation

What is amazing and awesome about your child(ren)?

Anything else you'd like to add?

Contact Us

Families Affected by FASD
Adrienne Bashista, Director
198 Sylvester Rd.
Florence MA 01062
(413) 248-7297‬
fasdfamilies@gmail.com

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“My husband and I have been through the webinar training as well as 2 additional trainings given to our school district. We have found it extremely helpful and highly recommend this class. So many wonderful discussions, questions and ideas to help us as well as our community have a better understanding. This training truly lifted a weight from our shoulders and gave us more patience. Thank you.”

~Lyn Dorler Taylor

“We had the doctor’s diagnosis. But F.A.F.A.S.D. helps to give us understanding.”

~Amy E.

The webinars and in-person workshops presented by FAFASD present factual information about FASDs, and help parents and professionals understand the behaviors associated with the brain differences connected with fetal alcohol exposure. Our workshops help caregivers, professionals, and other supporters understand our loved ones with FASD and give practical, individualized strategies so that everyone impacted by FASD – individuals and families-can succeed.