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* 1. Your Name (First Name Only)

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* 2. Your email address

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* 3. Are you the parent of a 12-16 year old daughter that has been diagnosed with autism?

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* 4. Has your daughter with autism received a high-functioning diagnosis?

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* 5. Has your daughter with autism received a level 1 diagnosis?

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* 6. Has your daughter with autism received an Asperger's diagnosis?

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* 7. Does your daughter with autism have at least one older sibling who has not not been diagnosed with autism?

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* 8. Do you share fulltime residence with your daughter and her older siblings?

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* 9. Has your daughter's older sibling(s) without autism lived with her since birth?

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* 10. Does your daughter's older sibling(s) without autism currently share a full time residence with her?

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