Adult Membership Form

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We're so glad that you are a part of Autistics United! Please let us know a little bit more about you. A caregiver, friend, helper or parent can help you fill this form out or complete it on your behalf. Do what works best for you! :)

Email *

What is your full name? *

How old are you? *

What is your birthday? *

YYYY

Are you formally diagnosed as being on the autism spectrum? (We welcome all people regardless of a diagnosis.) *

Yes

I'm self-diagnosed

Do you have a preferred communication style? (check all that apply)

Verbal

Written

PECS (Picture Exchange Communication System)

Gesturing

Sign Language

Typing

AAC (Augmentative & Alternative Communication) Device (Dynavox, Proloquo2Go etc)

Other:

What are your sensory triggers? What is your sensory profile? (check all that apply)

I'm triggered by Crowded Spaces

I'm triggered by Being Touched

I'm triggered by Loud Sounds

I'm triggered by Bright Lights

I'm triggered by Strong Smells

I am Sensory Seeking

I am Sensory Sensitive

I am Sensory Avoidant

I'm a Mixture of Things

I'm Not Sure

Other:

Do you have any emotional triggers or pet peeves that we should know about? (to make the group as safe and comfortable as possible) (it's okay if you don't know)

What would you like to learn more about? (check all that apply)

AUTISM!

Using visual structure

Successful scheduling

Educational Advocacy

Understanding Behavior

Communicating More Effectively

Preventing Meltdowns

Self-Care

Adulting

Understanding Guardianship

Relationships

Workplace Advocacy

Coping Strategies

Friendship

Community

Learning to Relax

Acceptance

Activism & Advocacy

Any other thoughts, ideas, concerns?

Submit

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