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* 1. Where do you get information about events, programs, and activities? Check all that apply.

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* 2. Which social media platforms do you use to find out about events, programs, and activities? Check all that apply.

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* 3. Please check the top three social media sites you use to find out about events, programs, and activities.

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* 4. Do you have a developmental disability?

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* 5. Do you have a sibling or parent with a developmental disability?

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* 6. Are you a parent or a guardian of a child with a disability?

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* 7. What is your age?

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* 8. To which gender identity do you most identify?
(We collect this information to understand and deliver inclusive programs that appeal to everyone in our community. Only staff can see this survey).

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* 9. How do you describe your ethnicity?

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* 10. Where do you live?

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* 11. Have you heard of the Delaware Developmental Disabilities Council?

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* 12. Have you heard of Junior Partners in Policymaking?

Enter to Win! (Optional)

If you want to be entered into a drawing to win a prize pack, please share and submit your information by November 30, 2021. PLEASE PRINT


NAME:_______________________________________________________________________________________________________________________

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