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.
Your answer
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.
Your answer
What types of disability services/programs do you think should be prioritized or expanded in our town? *
Your answer
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?
Your answer
Are there any specific suggestions or ideas you have to enhance disability services/programs or improve accessibility in our town?
Your answer
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?
Your answer
A copy of your responses will be emailed to the address you provided.