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AUSOM Annual Assessment Survey

How are we doing?!

Thank you for taking the Autism Society of Maryland’s (AUSOM's) Annual Assessment Survey. We'd love to hear from you about your experience with AUSOM in the last year. This will help us make improvements to better serve you. This survey was designed in partnership with a person with Autism to make it more accessible to all. It will take just a few minutes to complete. We appreciate your input and insights! If you have any questions about the survey, please email melissa.rosenberg@autismsocietymd.org.
1.Please select the option(s) that best describes you. I am a(n):
2.Which program(s) did you access at AUSOM in the last 12 months? Select all that apply.
3.How did the AUSOM program(s) that you participated in impact you? Please select the best option.
4.In the past year, AUSOM program(s) supported me in the following ways (select as many options as you want):
5.Please describe in greater detail the ways that AUSOM program(s) supported you in getting your needs met in the past year.
6.How can we better support you in the future?
7.Please provide any other feedback you’d like to share in the space below that could help us improve our services and programs for the future.
8.Please describe other topics or programs that you would like to see offered at AUSOM in the future.
9.In which county do you reside?
10.Interested in getting more involved? We'd love to have you! Please indicate your areas of interest then add your name, email and phone number in the comment box.
11.What is your zip code?(Required.)