As an individual or a parent or guardian of a person receiving services from the Montgomery County Board of Developmental Disabilities (MCBDDS), we would like your input regarding the services our agency provides for individuals with developmental disabilities in our county.

This survey should only take a few minutes to complete.  We ask that you only complete the sections that apply directly to the services you or your loved one are receiving.  If there is a service that your family member does not participate in, please skip that section and go to the next section.

Note:  This survey will be distributed electronically via SurveyMonkey, and in paper form upon request.  Should you prefer to receive a paper copy, please contact the MCBDDS Community Relations Department at (937) 837-9253.

We ask that you complete either the print OR electronic version of the survey, but not both, by June 10, 2016 at 11:59 p.m.

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* I am:

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* My age group (check one):

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