The MECP2 Duplication Syndrome Family Conference will be held in Houston, Texas on March 27-29, 2012. Our Conference Committee wants to make this conference fit the needs of attending families as well as possible. To help the committee in planning, we ask that each family planning to attend to submit one survey. On behalf of the Conference Planning Committee, thank you for your help.

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* 1. Please indicate the number of people who plan to attend in your group

  0 1 2 3 4 5 more than 5
Children or adults who have MECP2 Duplication Syndrome
Parents
Sisters or brothers age 12 or younger who do not have the syndrome
Sisters or brothers age 12 to 17 who do not have the syndrome
Sisters or brothers age 18 or older who do not have the syndrome
Other family members or caregivers

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* 2. Most rooms at the conference hotel will accommodate 4 people. Approximately how many rooms do you think you will need to accommodate all the people coming as part of your group?

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* 3. Would you like to receive additional information about the conference by e-mail as it becomes available? (if YES, please list your name and e-mail address below)

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* 4. Please add any other comments, concerns, or conference ideas here!

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