Special Needs Survey Special Needs Survey Do you have a special needs relative over the age of 27?(Required) Yes No What kind of special needs does your relative have?(Required) Autism Down Syndrome Spina Bifida Cerebral Palsy Muscular Dystrophy Fragile X Syndrome Deafness Blindness Developmental Disability Neurological Deficits Traumatic Brain Injury Other If Other Please Name Them Here(Required) Would you be interested in a special needs program through the Diocese?(Required) Yes No If so, what type of program?(Required) Δ
