Autism New Jersey's Online Referral Database Question Title * 1. What is your satisfaction with Autism New Jersey's online referral database? Satisfied Somewhat Satisfied Undecided Not Really Satisfied Not at All Satisfied Satisfied Somewhat Satisfied Undecided Not Really Satisfied Not at All Satisfied Question Title * 2. Did you find our system easy to use? Yes Somewhat Undecided Not Really Not at All Yes Somewhat Undecided Not Really Not at All Question Title * 3. Would you refer this service to friends or colleagues? Yes No Yes No Question Title * 4. Did you find the service provider type you were looking for? Yes No Yes No Question Title * 5. If not, what service provider type are you looking for? Question Title * 6. How did you hear about us? Internet Radio Autism New Jersey's helpline 800.4.AUTISM Service Provider School Family Member/Friend Medical Professional Autism Registry DDD DCF Other (please specify) Question Title * 7. Please provide any additional comments below. Question Title * 8. If you need additional help, please call our helpline at 800.4.AUTISM, email us at information@autismnj.org, or leave your contact information so we can provide further assistance. Question Title * 9. To participate in our follow-up survey, please leave your email address. Done