The North County/North City Community Group has new leadership and she would like to know what families in the area would like to see from the community group.  Your participation in this survey is much appreciated! Please contact abigail@dsagsl.org with any questions.

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* 1. Parent/Guardian First and Last Name

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* 2. Parent/Guardian Phone Number

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* 3. Parent/Guardian Email

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* 4. Parent/Guardian Address, City, State, and Zip

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* 5. Name of loved one with Down syndrome

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* 6. Date of birth of loved one with Down syndrome (DD/MM/YYYY):

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* 7. How does the person with Down syndrome identify?

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* 8. What types of events/programs would you like to see from the NC/NC Community Group? Check all that apply

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* 9. How comfortable are you participating in activities in person?

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* 10. Please list anything specific your family would be interested in having the NC/NC Community Group do.

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* 11. How do you like to receive information from DSAGSL and the NC/NC Community Group? Check all that apply.

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* 12. Are you interested in a leadership role with the NC/NC Community Group?

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