We Want to Share Your Story!
Please answer the questions below. Your answers will in turn be a part of our Community Outreach program, and not only help our mission, but raise awareness in our community. If you have any questions after the questionnaire, please contact us by email at director@autismevansville.org, or by calling (812) 202-9405. Thank you for your time!
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Email *
What is your Name? *
Please list the full names of your children along with their ages. *
Which of your children have been diagnosed with ASD? *
What age was your child/children diagnosed? Please list first name along with age. *
Does your child/children receive any services for their diagnosis? *
If yes, who provides services for your child/children? Please list the service associated with each service provider.
How has the diagnosis affected you and your family? *
What are some of your family's experiences realated to your child's diagnosis? *
How were you introduced to Autism Evansville? *
Have you utilized any of the following Autism Evansville programs? Please check all that apply. *
Required
How would you explain to someone your experience with Autism Evansville? *
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