Catholic Social Services is exploring the establishment of individualized community-based programming to assist in creating an independent and fulfilling life for adults with special needs in the Philadelphia region. 

Please consider completing this survey electronically to help us best meet the needs of the individuals to be served.

If you have any questions, please contact Mary Beth Malloy at marybethmalloy@verizon.net or 610-724-8579.  If you prefer, paper copies of the survey can be mailed to:  Mary Beth Malloy, Catholic Social Services, 10 Fatima Drive, Secane PA 19018.

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* 1. Where did your son or daughter attend high school? What was the year of graduation?

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* 2. Is your son or daughter receiving post-secondary funded services? If so, how many hours per week and where do they receive the services?

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* 3. Is your son or daughter currently employed in the community? Where? How many hours per week?

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* 4. If your son or daughter is employed in the community, does he/she receive job coaching or assistance on the job?  How many hours of assistance per week?

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* 5. Would your son or daughter be interested in participating in any of the following services (you may choose more than one)

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* 6. Would your son or daughter be interested in program services or social activities offered in the evening?

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* 7. Would your son or daughter be interested in obtaining any of the above services through community based programming provided by Catholic Social Services in the Archdiocese of Philadelphia ?

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* 8. What zip code do you live in?

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* 9. What is your email address?

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