JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Living with Disability & Chronic Illness — Affinity Group Feedback
Collecting info on disabled staff experiences at Health Care for the Homeless.
All questions are optional and you can choose to remain anonymous!
Reach out to rritter@hchmd.org with any questions or to get involved.
Sign in to Google
to save your progress.
Learn more
Name (not required):
Your answer
Email address (not required):
Your answer
Job title/department (not required):
Your answer
If you're interested in attending meetings, what would work the best for you? (Check all that apply)
Online/hybrid meetings
In-person at Fallsway
Monthly
Every other month
Lunchtime meetings
Early morning
Late afternoon
Early closure Thursdays (4th/5th week of the month)
Are you interested in a leadership position with the Affinity Group?
Yes
No
Other:
Clear selection
Do you identify as disabled?
Yes
No
Other:
Clear selection
Do you talk about your disability at work?
Yes, openly
Yes, and I use my experience to connect with clients
No
Only with certain coworkers
Only with my supervisor/Human Resources
Do you think your coworkers have a good understanding of disability and ableism?
Your answer
Have you requested accommodations at work? If so, what was your experience like?
Your answer
What do you want to see from this group?
Emotional/social support; to make friends and vent about experiences
Sharing resources and information
Talk about workplace policy change
Education on disability justice
Guest speakers on disability
Advocacy (legislative change in Baltimore City, Maryland, and beyond)
Other:
If you think changes are needed to support disabled people in our workplace, what issues are the most pressing?
Physical accommodations (ex. building entrances, wheelchair ramps, parking, etc.)
Accommodations requests policy
COVID-19 precautions
Work culture (ex. education and awareness, sensitivity training)
Hiring practices (ex. interview process, physical requirements, drug testing)
Training for supervisors/leadership
Other:
Any questions? Anything we missed/messed up on? Anything else you want to share about disability at Health Care for the Homeless?
Let us know, and thank you for sharing!
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms