Adult Placement Questionnaire
The transition to adulthood and adult placement for individuals with intellectual or developmental disabilities can be daunting. All answers to this survey are kept confidential and names are not required unless you request more information at the last question.
Do you have a relative who has an intellectual or developmental disability between the ages of 18 and 99? *
Do you have a relative who has an intellectual or developmental disability between the ages of 3-18 *
When considering adult placement for your relative with a disability- what location would best fit your needs? *
Required
When considering adult placement for your relative with a disability- would you want them in a single apartment or sharing with a friend? *
Required
When considering adult placement for your relative with a disability- I would like to see *
Required
When considering adult placement for your relative with a disability- I would like to see a level of support that *
Required
I would like see these amenities for my relative (check all that apply) *
Required
Transportation would need to be... *
Required
Outside amenities I would like to see close to the housing facility would include (check all that apply.) *
Required
When considering adult placement, I would like to *
Required
When considering adult placement, I consider a reasonable cost to be (check all that apply) *
Required
I would consider this placement for my relative to be *
Required
I would like more information on future neighborhood developments. Please add me to your email list (not required)
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