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First Name
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Last Name
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Email
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I am a
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Speech-Language Pathologist
Assistive Technology Coordinator
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I work at a
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School
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School District / Company Name
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Are you currently working with an individual who could benefit from an AAC device?
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What age group do you work with? Select all that apply.
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0-3
4-5
6-21
22+
How many individuals do you currently provide AAC services to?
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11-20
21+
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I live outside of the United States
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