North Brunswick Township Abilities Council
Sign in to Google to save your progress. Learn more
Email *
Hello! What's your name? *
Do you live in North Brunswick? *
What is your age range?
Clear selection
How do you identify?
Clear selection
What is your current employment status?
Clear selection
Are you familiar with the existing disability services/programs available in our town?
*
If yes, please specify the disability services/programs you are aware of.
Do you believe that the current disability services/programs in our town adequately meet the needs of individuals with disabilities?
Clear selection
If no, please describe the specific gaps or areas where improvements are needed.
What types of disability services/programs do you think should be prioritized or expanded in our town?
*
How would you rate the accessibility of public buildings and infrastructure in our town for individuals with disabilities?
Poor
Excellent
Clear selection
What barriers or challenges do you perceive individuals with disabilities face in our town?
Are there any specific suggestions or ideas you have to enhance disability services/programs or improve accessibility in our town?
Would you be willing to actively participate in initiatives or volunteer your time to support the development of disability services/programs in our town?
Clear selection
Is there anything else you would like to add?
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report