Disability Questionnaire
We are a proud supporter of disabilities in the workplace. We encourage all staff members to disclose any special requirements so we can help to ensure safety and comfort in the workplace!
Sign in to Google to save your progress. Learn more
Your first name *
Your last name *
Which of the following options describe your disability? Select ALL that apply. *
Required
We want to create a work environment that is comfortable and accommodating. Would you like us to contact you to discuss any special requirements that you may have? *
Is there anything else we can do to help support you?
Additional information or comments:
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Innovative Facility Care Inc.. Report Abuse