Exceptional Family Magazine Summer/Fall 2023

Magazine Satisfaction Survey

Thank you for taking a moment to complete this survey. This information is very useful in helping us to make Exceptional Family Magazine even better. You will be entered to win a gift card if you include your contact information.

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* 1. I am in this group (s)

White

Black or African American

American Indian and Native Alaskan

Latino

Asian

Native Hawaiian or Pacific Islander

Two or more races

Race Unknown

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* 2. I am:

Female

Male

Other/No Answer

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* 3. I am:

A person with a disability

A family member of a person with a disability

Neither of the above

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* 4. I live in this type of area:

Urban (city)

Rural (county)

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* 5. Exceptional Family Magazine helps to increase my advocacy skills:

Yes

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* 6. Exceptional Family helps me to better say what I want and what is important to me.

Yes

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* 7. I currently participate in advocacy activities.

Yes

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* 8. I am on a cross disability coalition, policy board, advisory board, governing bodies and/or serving in a leadership position.

Yes

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* 9. I am satisfied with Exceptional Family Magazine.

Yes

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* 10. How can we improve the magazine to make it better for others in the future?

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* 11. Please tell us anything else that you would like us to know.

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* 12. Please provide your name and email if you would like to be registered for a $250 gift card drawing and to be added to our CCDD update emails.

Name

Email Address