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Your Voice Matters: Family Support Survey
1.
What types of support or information does your family need most right now?
Examples include: eligibility, services, waitlists, respite care, advocacy, transitions, therapy, recreation, housing, employment, and transportation.
2.
What barriers make it difficult for your family to access services?
Examples include: time, transportation, cost, paperwork, language, and not knowing where to start.
3.
Please select all areas where you would like more general information:
Resources
Help connecting to a specific provider
Help navigating the process step by step
Other (please specify)
4.
How do you prefer to receive information?
Email
Text
Paper flyer
Phone call
Website
Social Media
Parent Meeting
Other (please specify)
5.
Which organization or event led you to this survey?
6.
Which county do you reside in?
Clay
Platte
Other (please specify)
7.
Optional: Would you like someone to follow up with you? If so, please leave your name and preferred contact information (email address or phone number).