Autism Friendly Business Feedback Survey *Required Question(s) We would appreciate your feedback regarding your recent experience at an Autism Friendly Business. Please complete the following survey as your experience will help us to continue to improve our training in autism awareness. Name of certified business you visited:*Date of Visit* Date Format: MM slash DD slash YYYY Are you…* An individual with autism spectrum disorder or special needs Parent/Caregiver of a child/adult with autism spectrum disorder or special needs Relative/friend of an individual with autism spectrum disorder or special needs A service provider to those with autism spectrum disorder or special needs A business Other Please provide your zip code*Did you find the employees to be knowledgeable in autism awareness?YesNoCommentDid you find the employees to be knowledgeable in autism awareness? - CommentWere your needs met during your visit?YesNoCommentWere your needs met during your visit? - CommentHow likely are you to visit or recommend this business to a friend?Very LikelyMaybeNot LikelyCommentHow likely are you to visit or recommend this business to a friend? - CommentIs there anything you would like to see done differently?YesNoCommentIs there anything you would like to see done differently? - CommentIf you would like more information on other businesses that have been certified in our community please provide your email address. Your email will not be shared with others and is for internal purposes only. Email Additional CommentsCommentsThis field is for validation purposes and should be left unchanged.
