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* 1. Are you a: (Please check all that apply)

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* 2. If you are a parent of a child with a disability, what is your child/young adults age?

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* 3. If you are a parent of a child with a disability, what is your child/young adult’s disability?

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* 4. If you are a Professional, what is the service you provide?

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* 5. If you are a Professional, what is the age range for whom you provide your services?

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