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What is your email address?
What is your personal connection to autism? (Select all that apply; if you do not have a personal connection to autism, select "None")
Myself
My family member(s)
My friend(s)
My work
Other (Please specify)
None
Who in your family is autistic/has autism? If more than one person is autistic/has autism, please select all that apply.
Not applicable
My child(ren)
My sibling(s)
My parent(s)
My grandparent(s)
My partner
Other (please specify)
In what role(s) do you work with people who are autistic/have autism? Please select all that apply.
Not applicable
Caregiver
Educator
Health Care Professional
Researcher
Volunteer
Student
Other (please specify)
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