AS 101

 

 

Demographic information

These are optional questions.  We ask for birthdate, gender, ethnicity, and race because of our commitment to equity and inclusion. This data has helped us to create innovative programming and recognize unmet needs. By filling out these fields, you help us gain insights on how we can help our entire community. Your personal information is protected by our privacy policy and is not shared with anyone outside of AANE.

 

1.


2.
Question - Not Required - What is the birthdate of the individual with an Asperger/autism profile?




3.
Question - Not Required - I identify my gender as: (For person with an Asperger/autism/neurodiverse profile.)

4.


 
   Please leave this field empty