ADA Survey for Program and Facility Users (general public)
The City of Paso Robles, in keeping with its ongoing efforts to serve all members of the community, is updating its Americans with Disabilities Act (ADA) transition plan and self-evaluation.

The City is seeking input from agencies, organizations and individuals with disabilities to help the City enhance accessibility to its facilities, programs, services and events.

First Name
Your answer
Last Name
Your answer
Address
Your answer
Phone
Your answer
email
Your answer
Name of City of Paso Robles facility or location, or type of program or service for which you are providing input. *
Your answer
What is your relationship to the City of Paso Robles? (check all that apply) *
Check all programs, service or activities in which you participate at the facility, site or location. *
Do you know who to contact if you need assistance, have a concern or complaint, or need an accommodation to access a facility, service or event? *
Required
Have you ever requested an accommodation for a disability from the City? *
Required
If an accommodation was requested, was your accommodation made by the City? *
Required
If you indicated yes for the last question, what accommodations were made? If no, were you given a reason why it was not provided?
Your answer
Have you experienced any barriers, nonaccessible areas, or nonaccessible programs? (Examples: no accessible parking spaces, difficulty reaching an accessible entrance, steep ramps, uneven sidewalks, need for assistive listening device, large print, etc.) *
Required
If you indicated yes for the last question, please describe.
Your answer
Have you attended any special events in the City? *
If you answered yes to the above, did you encounter any barriers to accessibility? Please describe.
Your answer
Is accessible seating provided for individuals with disabilities at meetings, classes, programs, etc. held at the facility? *
Required
If you answered no above, please describe.
Your answer
Are you aware of any programs, service or activities that are not accessible to individuals with disabilities? *
If you answered yes above, please describe.
Your answer
Is information provided regarding accommodations, auxiliary aids (such as assistive listening systems, interpreters, alternate formats, specialized equipment, or assisted services, etc.?) *
Please describe.
Your answer
Is there adequate directional and informational signage provided at the facility? *
If no, please describe
Your answer
If you have requested auxiliary aids, an interpreter or specialized equipment, was your request accommodated? *
If no, please describe.
Your answer
Has the attitude of the staff of the City of Paso Robles towards you or someone you know with a disability been generally helpful, supportive, positive and proactive in solving accessibility issues? *
Please describe.
Your answer
Other comments
Your answer
What do you feel is the highest priority for accessibility in the City of Paso Robles Accessibility Plan? *
Your answer
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