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* 1. Do you have a child/teen in your family who has been diagnosed (or you think they are) on the Autism Spectrum?

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* 2. If so, how old is the child/teen?

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* 3. Please rate what day/times would be most convenient for you to attend a program for kids/teens on the Autism Spectrum at Agawam Library? 1- best 6-worst

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* 4. How interested would you be in attending a storytime at the Agawam Library for children on the Autism Spectrum and their loved ones?

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* 5. If you would like to be contacted when we announce the upcoming programs for kids/teens on the Autism Spectrum please provide your name and contact information.

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