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* 1. Have you or the individual receiving FNRC services been provided with a person centered plan?

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* 2. Have you or the individual receiving FNRC services been provided with information on Self Determination?

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* 3. Have you been provided with information on how to access generic/community resources?

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* 4. Has your high-school aged family member been provided with information on adult services (i.e. Independent Living Skills Instruction, College supports, or Employment Development)?

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* 5. Has your high-school aged family member been provided with information on community integrated employment through a paid internship program?

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* 6. Which living options have you or your family member been provided with information on: (Select all that apply)

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* 7. Would you or your family member be interested in participating in any employment or outreach events?

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* 8. Have you been informed about supports & services to assist you with the care of your medically fragile/high-medical needs child?

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* 9. What is the age of the individual receiving services?

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* 10. What is the race or ethnicity of the individual receiving services?

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