1.I am a:

Parent/guardian/family member of a student with autism and/or another disability

Student with autism and/or another disability

Professional

Other 

2.The information presented today was beneficial and relevant to me:

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

3.I have increased my knowledge and resources needed for successful healthcare transition after listening to the panel discussion. 

Strongly Agree

Agree

Neutral 

Disagree 

Strongly Disagree

Strongly Agree

Agree

Neutral 

Disagree 

Strongly Disagree

4.The panelists presented information in a clear and understandable way:

Strongly Agree

Agree

Neutral 

Disagree 

Strongly Disagree 

Strongly Agree

Agree

Neutral 

Disagree 

Strongly Disagree 

5.The panel discussion was well organized and easy to follow:

Strongly Agree 

Agree

Neutral 

Disagree 

Strongly Disagree 

Strongly Agree 

Agree

Neutral 

Disagree 

Strongly Disagree 

6.What other panel discussion topics would you like us to present on?

7.Any Additional Comments:

8.If you have additional questions or concerns, can our MINavigators contact you for assistance:

Yes

No

If yes, contact me at: