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* 1. What is your child's age?

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* 2. What city do you currently live in (this information is meant to help determine local programs and supports that could be available/useful for you)?

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* 3. What are your child's interests?

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* 4. Please choose the learning style that best describes your child.

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* 5. What do you think motivates your child?

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* 6. Any other information you would like to share with us about your child?

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