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Center for Autism Related Disorders (CARD) - Contact Me


A note on privacy
This survey is anonymous.
The record of your survey responses does not contain any identifying information about you, unless a specific survey question explicitly asked for it. If you used an identifying token to access this survey, please rest assured that this token will not be stored together with your responses. It is managed in a separate database and will only be updated to indicate whether you did (or did not) complete this survey. There is no way of matching identification tokens with survey responses.
Contact Information


* Name:
* Email address:
Please check the format of your answer.

Helpsample@sample.com
Phone number:
Please check the format of your answer.

Help555-555-5555
If you are the parent of a child with ASD, fill in the name of the child here: