We want to get to know you better!
Autism Speaks is powered by supporters like you. Help us get to know you better by filling out the survey below.
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Email Address
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Zip/Postal Code
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First Name
Last Name
Phone Number
How did you hear about Autism Speaks?
What is your relationship to autism?
My child has autism
My children have autism
My sibling has autism
My grandchild has autism
My family member has autism
I have autism
I work with or educate those touched by autism
My friends family is touched by autism
I do not personally know someone touched by autism
What are you most interested in receiving from Autism Speaks? (Check all that apply)
Opportunities to get involved
Resources for families with autism
Invitations to local events or ways to connect with the community
Updates on the latest science around autism
Other (please specify)
How are you most interested in getting involved with Autism Speaks? (Check all that apply)
Attending a local event or Walk
Volunteering at a local event or Walk
Taking action online to influence policymakers
Donating to support our work
Other (please specify)
