Exceptional Family Magazine Winter/Spring 2024

Magazine Satisfaction Survey

Thank you for taking a moment to complete this survey. This information is very useful in helping us to make Exceptional Family Magazine even better. It also helps us to secure funding to continue to produce the publication. You will be entered to win a gift card if you include your contact information.

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* 1. I am in this group (s)

White

Black or African American

American Indian and Native Alaskan

Latino

Asian

Native Hawaiian or Pacific Islander

Two or more races

Race Unknown

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* 2. I am:

A person with a disability

A family member of a person with a disability

Neither of the above

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* 3. I live in this type of area:

Urban (city)

Rural (county)

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* 4. What is your current gender? [Select ONE]

Man

Woman

Non-binary

I use a different term

Don't know

Prefer not to answer

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* 5. Which of the following best represents how you think of yourself? [Select ONE]:

Lesbian or gay

Straight, that is, not gay or lesbian

Bisexual

I use a different term

Don't know

Prefer not to answer

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* 6. I consider myself transgender

Yes

Prefer not to answer

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* 7. Exceptional Family Magazine helps to increase my advocacy skills:

Yes

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* 8. Exceptional Family helps me to better say what I want and what is important to me.

Yes

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* 9. I currently participate in advocacy activities.

Yes

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* 10. I am on a cross disability coalition, policy board, advisory board, governing bodies and/or serving in a leadership position.

Yes

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* 11. I am satisfied with Exceptional Family Magazine.

Yes

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* 12. How do you access the magazine?

Online

Physical Copy

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* 13. How can we improve the magazine to make it better for others in the future?

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* 14. Please tell us anything else that you would like us to know.

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* 15. Please provide your name and email if you would like to be registered for a $250 gift card drawing and be added to our CCDD email list.

Name

Email Address