This survey is designed to help the Autism Society of Nebraska gain important information from autistic adults about their views on helpful and needed support groups and activities in Nebraska. It takes between 5-10 minutes to complete.
 
This survey is anonymous unless you decide to provide your information at the end.  
 
Contact us at:
autismsociety@autismnebraska.org
or
1-800-580-9279

Please choose the best option:

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* 1. Please choose the best option:

What is your age?

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* 2. What is your age?

What is your current relationship status?

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* 3. What is your current relationship status?

Do you have children?

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* 4. Do you have children?

What is your employment status?  (Select all that apply at this time)

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* 5. What is your employment status?  (Select all that apply at this time)

Where in Nebraska do you live?

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* 6. Where in Nebraska do you live?

What is your modes of transportation? (Select all that apply at this time)

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* 7. What is your modes of transportation? (Select all that apply at this time)

Have you participated in a support group in the past?

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* 8. Have you participated in a support group in the past?

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