• 2020 Participant Survey

  • Clallam Mosaic was established to empower and to serve individuals with special needs and their families. Like most organizations, we are having to adjust to the challenges of COVID-19. Together we need to develop new ways to meet these challenges. Your knowledge of the community, and experiences with our special community will give us insight into ways we can most effectively meet the needs of participants.

    This survey will help us to identify those needs. We greatly appreciate your input and welcome your suggestions. We would like to be able to contact you in a follow-up email or phone call. If this is okay, please include your contact information below.

     Thank you for taking the time to fill out this survey and do not hesitate to contact us with any questions or concerns. Our contact information can be found at the end of this survey.


  • Personal Information:


  • Questions and Details:

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