NPAM Screening Survey

Are you between the ages of 12 - 21?

Do you have a mobility impairment? (e.g. cerebral palsy, multiple sclerosis, juvenile arthritis, spina bifida, amputation, muscular dystrophy, neuromuscular disorder, etc.)

Do you have difficulty remembering things on a regular basis? Have you ever seen a professional about this?

Do you have a visual impairment?

Do you have a hearing impairment?