LEADWITHLOVE Email Marketing -

Are you and your business autism aware and ready?

Take this quick survey to find out!

First Name*

Last Name*

Business name*

Phone*

Email*

On a scale of 1-5 please answer the following questions indicating the most appropriate response with 1 being the lowest or least prepared and 5 being the highest rating or most prepared.

How well can you define autism? (1 being "I cannot," 5 being "Trust me, I know")*

1

2

3

4

5

How prepared is your team and business to serve people and families with autism? (1 being "we're not," 5 being "we do it daily")*

1

2

3

4

5

How much additional support do you think a family with autism would need compared to other families? (1 being "not much," 5 being "a lot")*

1

2

3

4

5

My Score--Please tally your score and select the appropriate range*

3-5

6 - 10

11 - 15