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MDDC Activities Follow-up Survey
1.
Your Name:
2.
Your Email
*
3.
MDDC activity / event name that you participated, attended, or were affected by:
(Required.)
*
4.
When was the MDDC activity that you participated, attended, or were affected by?
(Required.)
*
5.
How did you learn of the availability of the program you are referring to?
(Required.)
State Agency
Advocacy Organization
Service Provider
Consumer Organization
Word of Mouth
Internet / Social Media
Other
*
6.
How many people in your family (including yourself) participated,
attended, or were affected by MDDC activities?
(Required.)
People with developmental disabilities
Family members
*
7.
What best describes who you are?
(Required.)
Person with a developmental disability
Family member
Support Person
Teacher
Paraprofessional
*
8.
Is there another MDDC event/activity that you participated in, attended, or were affected by?
(Required.)
Yes
No