Survey for City of Huntington Park, CA Americans with Disabilities Act (ADA) Program and Facility Users Survey Form
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.

The City of Huntington Park is in the process of preparing their ADA Self Evaluation and Transition Plan, which is required by Americans with Disabilities Act (ADA) Title II (28 CFR §35.105(a)). Your input will assist the City in improving its ability to serve the needs of people with disabilities and their families.

Date (optional)
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Email Address (optional)
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Address (optional)
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Name (optional)
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Phone (optional)
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Name of Facility or type of Program or Service you are providing input: *
1. What is your relationship to the City of Huntington Park? *
2. Check all programs, services, or activities in which you participate at the facility. *
Required
3. Do you know who to contact if you need assistance, have a concern or complaint, or need an accommodation to access a facility, program service, or event: *
If yes to Question 3, who would you contact?
Your answer
4. Have you ever requested an accommodation for a disability from the City? *
5. If an accommodation was requested, was your request for accommodation made by the City? *
If yes to Question 5, what accommodations were made? If no, were you given a reason why it was not provided? Please describe:
Your answer
6. Have you requested auxiliary aids, an interpreter, or specialized equipment? *
If yes to Question 6, what accommodations were made? If no, were you given a reason why it was not provided? Please describe:
Your answer
7. Is information provided regarding accommodations, auxiliary aids (such as assistive listening systems, interpreters, alternate formats, specialized equipment, or assisted services, etc.)? *
Please describe answer to Question 7: *
Your answer
8. Have you experienced any nonaccessible areas or programs? (Examples: no accessible parking spaces, difficulty reaching an accessible entrance, steep ramps, uneven sidewalks, stairs only to the facility, narrow doorways, protruding objects in the hallways, lack of assistive devices, missing or inappropriate signage, lack of interpreters, etc.) *
If yes to Question 8, please describe:
Your answer
9. Are you aware of any areas or elements of the facility that are not accessible to individuals with disabilities? *
If yes to Question 9, please describe:
Your answer
10. Are you aware of any programs, services, or activities that are not accessible to individuals with disabilities? *
If yes to Question 10, please describe:
Your answer
11. Have you attended any special events at the City? *
If yes to Question 11, did you encounter a non accessible area?
If yes to previous question, please describe event attended and the non accessible area:
Your answer
12. Is accessible seating provided for individuals with disabilities at meetings, classes, programs, etc. held at the facility? *
13. Has the attitude of the staff of the City of Huntington Park towards you, or someone you know with a disability, been generally helpful, supportive, positive, and proactive in solving accessibility issues? *
Please describe answer to Question 13: *
Your answer
14. What do you feel is the highest priority for accessibility in the City of Huntington Park? *
Your answer
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