You have been selected to participate in a survey for the Maternal and Child Health Block Grant Title V Needs Assessment.  The Texas Department of State Health Services would like to hear from young adults with special health care needs about their experiences, and your input will provide valuable information about the support that young adults with special health care needs find most helpful.

Participation in this survey is voluntary, and you may skip any questions you do not wish to answer. You may also stop participating at any time. All responses will be grouped and reported to give us information about community and family needs across Texas. In reports based on this survey, no one will be identified by name and individuals will not be linked to their answers to the questions.

The survey takes about 15-20 minutes to complete.  If you have any questions about this survey, please contact us at

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* You must answer this question if you want your survey included:

Are you age 18 or older?

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* How old are you?