Please complete this survey to assist in determining the need and/or desire for a facility located in Marianna, Florida to provide transition related training to individuals with an Autism Spectrum Disorder (ASD) in life skills, job placement services, and college readiness services.

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* 1. Do you have a family member with ASD?

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* 2. If you have a family member with ASD, select the appropriate age group.

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* 3. Would you be interested in your family member attending a school for persons with ASD to learn transitional skills?

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* 4. If yes, would your family member be able to commute/have transportation to/from school?

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* 5. Would your family member need independent housing while attending the school (18 yrs +)?

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* 6. Check the life skills your family member needs assistance learning.

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* 7. Would your family member be interested in vocational training?

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* 8. Would your family member be interested in job placement assistance pertaining to vocational training received?

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* 9. Would your family member be interested in pursuing a college degree?

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* 10. Contact Information (Optional)

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