Individuals with Disabilities and Employment Survey

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The purpose of this survey is to identify the influences and obstacles that have enabled individuals with disabilities to acquire and maintain part-time or full-time employment.

To participate, you must have a disability AND have been working part-time or full-time for at least 1 year. Your feedback is important, entirely confidential, and completely anonymous.

This survey should take 15 minutes to complete. All questions are marked with an asterisk (*) and require an answer. In order to progress through the survey, please use the following navigation buttons:

Click Continue to move to the next page.
Click Back to return to the previous page.
Click Submit to complete the survey.

After clicking Continue at the bottom of each page, if the survey does not advance, review each question to ensure all have been answered. Remember to click Submit on the last page.

Thank you for your time and assistance in completing this survey!

Disability-Related Questions

Age at onset of disability? *

Are you familiar with the Americans with Disabilities Act? *

How did you learn/hear about the Americans with Disabilities Act? *

A brief explanation is appreciated. Use n/a if it does not apply.

Did the Americans with Disabilities Act enable you to gain employment? *

Explain. *

A brief explanation is appreciated. Use n/a if it does not apply.

Type of Disability *

Check all that apply

Attention Deficit Disorder (ADD)/Attention Deficit Hyperactivity Disorder (ADHD)

Blind or Low Vision

Brain Injury

Deaf/Hard of Hearing

Developmental Disabilities

Medical Disabilities

Physical Disabilities

Psychiatric Disabilities

Other:

Required

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