Please take a moment to fill out this satisfaction survey.

The Autism Program of Illinois (TAP) is funded by the Illinois Department of Human Services. By completing this survey, you are helping us to better serve Illinois residents and are helping to ensure that TAP receives Illinois State funding in the future.

You may choose to remain anonymous OR provide your contact information. 

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* 1. OPTIONAL: What is your first and last name?

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* 2. OPTIONAL: Email address

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* 3. OPTIONAL: Address

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* 4. OPTIONAL: Phone Number

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* 5. Do you want us to contact you in regards to your experience?

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* 6. What TAP organization did you visit?

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* 7. What is the zip code where you reside?

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* 8. What service were you seeking?

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* 9. What is the age of the child seeking services or the child/children you will be serving?

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* 10. How satisfied were you with the service/s received?

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* 11. Will you recommend the organization that you received services from to others?

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* 12. Additional Comments

0 of 12 answered
 

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