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User Information

Contact Information


Who Am I?

Demographic Information

We are asking the following questions to gain a better understanding of the different types of families that WAAA is serving and how we can better serve the whole community. Providing this information is optional and will be kept strictly confidential if provided.

Family Empowerment Survey Questions (for parents only)

This survey collects information about families with children. It asks if parents feel empowered to take part in their child's health care. We will use the information to improve services for families and children with autism spectrum disorders and other developmental disabilities. Choose the answer that best applies to you as a parent right now. There are no right or wrong answers. Answer based on your experience with your child's services. Examples of services are listed at the bottom of the page. For sentences that do not relate to you, choose “Not Applicable”.

Thank You!

Thank you! Our Membership Services Coordinator will review your information and connect you with the best person at WAAA to assist you, as well as provide you with other great membership resources. Please note, the information you provided is reviewed weekly, on Fridays. If you need urgent assistance please call WAAA to speak to an advocate 425-836-6513.

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