Autism Supports Questionnaire
Your Name (Optional)
Your answer
Your email address (Optional)
Your answer
Do you have a child diagnosed with Autism or a similar disorder? *
Required
What is the age of your child? *
Your answer
What school district does your child attend? *
If you are receiving and or need supports, what type of support would you like to see in Owensboro?
What funding sources do you have for your child? *
Required
If you are in need of supports, how often would you like to see the supports delivered?
Your answer
When do you think you would like to see services for your child become available?
If services were available, how would your child be transported to the service location?
Are there any other areas or services not mentioned above that you would like to see become available in Owensboro?
Your answer
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