ĐĎॹá>ţ˙ WYţ˙˙˙V˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙ěĽÁ @ đżâ)bjbjVV (Br<r<Ô! ˙˙˙˙˙˙ˆČ Č Č Č Č Č Č Ü ŔŔŔ8ř LÜ 9Bśddzzzzzz¸AşAşAşAşAşAşA$ďCRAFšŢAČ zzzzzŢAČ Č zzóAćććzŽČ zČ z¸Aćz¸AććŚţ>0Č Č HAzX ĐĐ”cÍŔ^.@ö„A4 B09B$A$ŰFfjŰFHHAÜ Ü Č Č Č Č ŰFČ HA<ćzzzŢAŢAÜ Ü äŔĐÜ Ü ŔSurvey On Religion Among Autistic People Created by David N. Brown Published online 3/21/2011 Master of Arts Christian Studies graduate student Denver Seminary, Littleton, CO This research is being conducted as a masters’ degree project at Denver Seminary. The purpose of this survey is to collect information about the autistic, and particularly high-functioning adults in religious settings. Respondents will be asked to describe their history of diagnosis, their religious opinions, their experiences in houses of worship, and their general life situation (employment, marital status, etc.) in multiple-choice or short answer form. The overall objectives of the project are to gain information on religion in the autistic adult population, and study how churches and other religious institutions can better accommodate and serve the autistic, both among current members and in the general public. Screening To keep data manageable and relevant to specific issues, the choice was made to direct the survey specifically to “high-functioning” autistic adults.  In the author's judgment, this does not require respondents to be legal adults with a diagnosis of an Autism Spectrum Disorder or a specific type of ASD.  Before responding, you should be sure you fit the following description: You are at least 16 years old. You believe, based on some knowledge of professional psychologists' definitions, that you are or at least could be autistic. Your verbal abilities are on a level where you can at least ask and answer spoken questions. Your social abilities are on a level where you can perform at least some “outside” errands (eg purchase food) and attend at least some social functions (parties, meetings, etc.) without assistance. You are able to take care of yourself in basic ways (dressing, bathing, preparing some meals, etc.) without assistance. You are, as a rule, able to make choices about your lifestyle, including what activities you participate in, without completely depending on permission or assistance from parents or other caretakers. A write-up of survey results will be submitted at the completion of the project to Denver Seminary. It may be further used as the basis of a future publication or other resource for religious ministries. The author promises confidentiality for all respondents. This means that the author will not report information that might be used to identify or contact you in the project writeup, in later publications, or in any private correspondence. Survey questionnaire Diagnostic history When were you born? a) After 1990 b) Between 1980 and 1990 c) Between 1970 and 1980 d) Before 1970 What best describes your history of diagnosis with an Autism Spectrum Disorder? a) I was diagnosed with an ASD by a professional psychologist or psychiatrist. b) I do not have a diagnosis from current criteria, but was diagnosed earlier in life with a disorder (eg “childhood schizophrenia”, Pervasive Developmental Disorder) now widely regarded as a form or misidentification of autism. c) I do not have a formal diagnosis, but at least one professional has suggested I might have an ASD. d) Family and friends believe I am or might be autistic. e) I believe I might be autistic, but have not talked to anyone else about it. What form of Autism Spectrum Disorder are you diagnosed with, or otherwise seems best to describe you? “Classic” (Kanner) autism Asperger’s Syndrome/ High-Functioning Autism Pervasive Developmental Disorder, Not Otherwise Specified “Atypical” or uncertain Social functioning and “life skills” Which statement best describes the status of your past or present romantic relationships? I am currently married. I am divorced. I am living (or have lived) with a partner who is/was not my legal spouse I have been in at least one long-term dating relationship, but have never married or lived with another person. I have gone on dates at least occasionally, but never been in a long term relationship. I have never been on a “serious” date. Which statement best describes your experiences with friendships? I have many people I consider “close” friends. I have many acquaintances, but I consider only a few to be “close” friends. I keep all or almost all social interactions superficial. I have little social interaction of any kind. Do you have any of the following phobias related to going out in public? Agoraphobia (fear of open spaces) Fear of or extreme discomfort in crowds Fear of physical harm (crime, accidents, etc.) Fear of being socially abused or rejected by others. Fear of embarrassing myself. Not applicable- I do not believe I have any phobia about public places. What best describes your reaction to stressful situations and environments? I can ignore the problem. I can stay under control, but get distracted. I become agitated. I leave when the stress gets to be too much. I avoid specific places and situations that I know will be stressful. What statement best describes your mobility/ mode of transportation? I can drive without difficulty. I have no difficulties driving, but don’t own or have regular access to a car. I have a driver’s license, but find driving difficult. I don’t have a driver’s license, but can ride a bike or other alternative vehicle (scooter, skates, etc). When I go out in public, I must either walk, use public transportation or get a ride from someone else. Which best describes your work plans and history? I do not believe I can hold a job. I plan to seek employment after I make progress in other areas (college, job training, vocational rehabilitation, etc.) I have never held a job, but am seeking employment currently. I have held one or more jobs in the past, but am not currently employed. I am currently employed. Religious Beliefs What statement best describes your beliefs about God? I believe in a single, omniscient and omnipotent God, who guides and relates to humans. I believe God exists, but is unknowable or impersonal. I am an agnostic. I am an atheist. If you are religious, which best describes your religion? a) Roman Catholic Christian b) Denominational Protestant Christian- Anglican, Episcopalian, etc. c) Evangelical Christian- Baptist, Pentecostal, “non-denominational” d) Eastern Orthodox Christian e) Other Christian- Mormon, Jehovah's Witnesses, etc. f) Judaism g) Islam h) Hinduism or Buddhism i) Tribal/traditional- Wicca, Santeria, Native American,Taoism, etc. j) Other__________________________________________ Which of the following would you choose as the greatest responsibilities for a house of worship? a) Teaching about the supernatural realm (God, the afterlife, etc.) b) Teaching people the morally right ways to act. c) Providing spiritual and emotional support for members. d) Providing a center for a community. e) Providing charitable aid for the general public. If you identify with a specific religion or denomination, which of the following best describes your observance/attendance within the church? I attend services regularly, and also am involved in “outside” ministries (eg. Bible studies, “parachurch” ministries, religious charitable work, etc.) I attend weekly services, but not other activities. I attend services infrequently. I observe my religion privately. Inapplicable- I am not religious If you regularly attend a place of worship, which of the following best describes it? A large, purpose-built building, capacity 500+ Small, purpose-built, acquired or shared building, capacity 100-400 Home or meeting room, capacity ca. 100 or less Inapplicable- I do not attend a place of worship. How many different churches have you attended? When (if) you have changed churches, what best describes your reasons? I moved to a different area. I was having sensory problems (eg. music too loud). I didn’t agree with what the church was teaching. I was having interpersonal problems with other members. Not applicable- I have always attended the same place of worship. Not applicable- I have never attended a place of worship. How do you think changing churches has affected (or would affect) your social functioning? I have no trouble adjusting to the new church. I make new friends and accept differences in services easily, but miss my old church. I need a lot of time before I feel comfortable at a new church. Not applicable- I have never attended church. In your experiences in church (or equivalent places of worship), have you found it easier or harder to interact and form friendships there than elsewhere? In your present or past place(s) of worship, what would you like (or have liked) to be changed to accommodate you better?  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