Event & Meeting Survey

Families on the Spectrum

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Event & Quarterly Meeting Survey

What are the top three events you would like Families on the Spectrum to host? (This includes public events and private events for autism families.) *

* Indicates required field

What county do you live in? *

How far are you willing to travel to attend an autism event? (Check all that apply.) *

0-10 miles 10-20 miles 20-30 miles 30+ miles

What days and times are best for your family to attend an event? (Check all that apply.) *

Monday Morning (8am-12pm) Monday Afternoon (12pm-5pm) Monday Evening (5pm-9pm) Tuesday Morning (8am-12pm) Tuesday Afternoon (12pm-5pm) Tuesday Evening (5pm-9pm) Wednesday Morning (8am-12pm) Wednesday Afternoon (12pm-5pm) Wednesday Evening (5pm-9pm) Thursday Morning (8am-12pm) Thursday Afternoon (12pm-5pm) Thursday Evening (5pm-9pm) Friday Morning (8am-12pm) Friday Afternoon (12pm-5pm) Friday Evening (5pm-9pm) Saturday Morning (8am-12pm) Saturday Afternoon (12pm-5pm) Saturday Evening (5pm-9pm)

What topics would you like to learn more about during our quarterly meetings? (Ex. Special needs trust, advocacy, therapies, etc.) *

What weekday EVENING is best for you to attend a quarterly meeting? (Check all that apply.) *

Monday Tuesday Wednesday Thursday Friday

Do you require childcare to attend a meeting? *

Yes No Maybe

Please list any additional comments or suggestions: *

Submit

Thank you for your input!