Assembly Corp. Accessibility Feedback Form
Help us improve accessibility for all members and visitors. Your feedback is valuable and confidential.
Email *
What is your relationship with the organization?
Do you consider yourself a person with a disability or accessibility needs?
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Please rate the overall physical accessibility of our facilities (e.g., ramps, elevators, restrooms, parking).
Very Poor/Inaccessible
Excellent/Fully Accessible
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Which areas of our physical facilities need the most urgent accessibility improvement?
How would you rate the accessibility of our digital resources (e.g., website, mobile apps, internal software)?
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Please indicate your agreement with the following statements regarding our organizational communication and support:
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Staff members are knowledgeable about accessibility needs.
Accommodation requests are handled promptly and effectively.
All official documents and communication are available in accessible formats upon request.
Our events/meetings offer necessary accommodations (e.g., interpreters, captioning).
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On which date did you last interact with the organization's services or facilities?
MM
/
DD
/
YYYY
If you required an accommodation during your last interaction, how effective were we in meeting your needs?
Please share any specific comments or suggestions you have for improving accessibility within our organization.
Is there anything else you'd like to share?
Would you be willing to be contacted for a follow-up discussion about your feedback? (Optional)
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If Yes, please provide your preferred contact information (e.g., email or phone number).
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