2025 AUSOM Annual Assessment Survey

1.Please select the option(s) that best describes you. I am a(n):

Parent/guardian of someone with Autism

Person with Autism

Family member (other than parent/guardian) of someone with Autism

Professional in the field of Autism/provider for someone with Autism

Educator

Other (please specify)

2.Which program(s) and/or services did you access at AUSOM in the last 12 months? Select all that apply.

Other (please specify)

3.Please indicate the overall impact the AUSOM program(s) or support had on you. Select the option that most closely matches your experience.

They were very helpful and/or supportive in meeting my needs

They were somewhat helpful and/or supportive in meeting my needs

They were neither helpful nor unhelpful in meeting my needs

They were somewhat unhelpful in meeting my needs

They were unhelpful in meeting my needs

4.How did AUSOM help you this year? Choose all the ways that apply to you.

I gained confidence in social situations/the job hiring process/in school/at work.

I learned how to be a better self-advocate or advocate for someone with Autism.

I got connected to specific resources I need.

I made friends and/or expanded my community in the Autism world.

I gained knowledge about available resources and services

I sought guidance on Special Education services.

I applied for small grant assistance.

Other (please specify)

5.Please tell us more about how AUSOM helped you in the past year.

6.How can we better support you in the future?

7.Please tell us anything else you think we should know to help improve our services.

8.What kinds of events, programs, or topics would be helpful for you in the future?

9.In which county do you reside?

10.Want to get more involved? We’d love to have you! Please tell us what you’re interested in, and add your name, email, and phone number below.

Participate in a focus group to provide additional feedback

Volunteer with AUSOM

Serve on an AUSOM committee in 2026 - give me more information!

Please share your contact information - name, phone number and email. We'll be in touch soon!

11.What is your zip code?(Required.)

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