Autism Spectrum Disorder Respondents

We are a branch of a larger market research company, whose goal is to make contact with as many caregivers of people diagnosed or involved in the treatment of Autism Spectrum Disorder. We will be looking to reach out to those interested in the form of online surveys and telephone discussions to further understand the needs of autism patients and caregivers. When contacted and qualified we will pay respondents for their time (up to $100).

All information collected during the surveys or phone discussions will be completely confidential in that your name or any other identifying information will not be shown to our clients.

* 1. Are you the individual diagnosed with Autism or the caregiver?

* 2. Please note age of when individual was diagnosed?

* 3. Is the individual diagnosed with Autism a

* 4. Please provide contact information