Membership Survey

1. Participant Demographic

This survey is an assessment of the Autism community here in Omaha. If you live in the Omaha area and have a loved one with autism please take a few moments to provide this important feedback.

Question Title

* 1. I am a

Individual with an autism spectrum disorder

Parent/Guardian of an Adult with an ASD

Parent/Guardian of a Minor Child with an ASD

Family Member (not the guardian) of an Individual with an ASD

Teacher/Educational Professional

Medical Professional

Mental Health Professional or Other Service Provider

Other (please specify)