1.Contact Name

2.Contact Person Title

3.Company Name

4.Company Location - City

5.Company Location - State

6.Contact Email

7.Contact Phone

8.How did you learn about HMEA’s Neurodiversity @ Work?

Social Media Post

A Colleague

As part of research on Neurodiversity hiring

Publication Article

TV Segment

Other (please specify)

9.Does your company have a Neurodiversity Hiring initiative?

We have a program in place

We have an initiative, but no formal program in place

We are just starting our research into neurodiversity hiring

10.What’s your preferred method of contact?

email

phone

text