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Step 1 of 6

Circles

Who is this circle for?

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Step 2 of 6

Enter information for the person this circle is about:

Upload a photo for this circle

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Step 3 of 6

Emily’s circle members want to see videos for these audiences:

select all that apply

  • Self advocate/Person with a Disability/
    Person who receives services
  • Parent
  • Guardian
  • Adult Sibling
  • Other trusted person
    (job coach, teacher, support staff, etc)
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Step 4 of 6

Emily’s circle members want to see videos about these topics:

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  • Making Healthy Choices
  • Using technology to be more independent
  • Knowing when to ask
    for help
  • Finding a job I love
  • Building Friendships & Relationships
  • Going to School
  • Being Safe at Home
  • Living On My Own
  • Going to the Doctor
  • Speaking Up for Myself
  • Finding a Faith Home for Me
  • Setting Goals
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Step 5 of 6

Emily’s circle members want to see videos for these age ranges:

select all that apply

  • Early Childhood (birth - 5 years)
  • School age (5-14 years)
  • Transition (14-21 years)
  • Adulthood (18-65 years)
  • Aging (65+)
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Step 6 of 6

Emily’s circle members want to see videos about these state services:

Quillo Connect is being provided to you by your state agency. To help them tailor information to you, can you share which if any of the following services you receive or are interested in? This information will not be public or shared with anyone.

select all that apply

  • Service Name Here FSW
  • Service Name Here FSW
  • Service Name Here FSW
  • Service Name Here FSW
  • Service Name Here FSW
  • I don't know
  • I don’t receive services
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