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Autism / Asperger Success Survey

1. Gender:
2. Income:
4. Are you a relative of a child with Autism/Asperger?
5. Are you a person diagnosed with Autism/Asperger?
9. If the child is 14 years or older, did he/she graduated with a high school diploma?
10. Is the child (or yourself)  going to college?
11. Did the child (or yourself) graduated with a bachelor’s degree?
12. Does the child (or yourself) have a job?
13. Does your child (or yourself) have a business? 
14. Has the child (or yourself as a person with Autism) previously received any help from other organizations (such as vocational rehabilitation, non-profit organizations, etc)?
Note: If you answered yes, go to question 14. If you answered no, go to question 15.
15. How would you rank the service received?
17. If there was a program in which would guide the child or yourself with Autism/ Asperger to improve their (your) skills and have a much better life, would you be interested?

THANK YOU!

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