COVID-19 Community Response Feedback
Due to the rapidly changing environment resulting from the Coronavirus (COVID-19), Access 2 Independence of the Eastern Iowa Corridor is asking for feedback from persons with disabilities, their families, and providers on ways we can best support the independence of people with disabilities in our community. We are one of six Centers for Independent Living in Iowa that provides free services to persons with disabilities to remain independent in the community and serve Benton, Linn, Jones, Cedar, Johnson, Iowa, Washington, and Henry Counties. This feedback will be used to identify where and how our services can best be used to meet the needs of the community, and those we serve. We are in this together!

We are only using this information for the purposes of responding to community needs and do not require identifying information. The e-mail collected at the end is optional if you would like additional resources and information provided by Access 2 Independence.
Are you an individual that identifies as having a disability? *
Are you a caretaker, service provider, or healthcare provider for an individual with a disability? *
Required
For you, or those you serve: At this time, is there concern about experiencing a food shortage?
No concern
Very concerned
Please describe:
Your answer
For you, or those you serve: At this time, is there concern about paying bills or rent?
No concern
Very concerned
Please describe:
Your answer
For you, or those you serve: At this time, is there concern about accessing public transportation (eg. buses, cabs, Uber/Lyft, etc)?
No concern
Very concerned
Please describe:
Your answer
For you, or those you serve: At this time, is there concern about being able to see healthcare providers and/or obtaining needed prescriptions?
No concern
Very concerned
Please describe:
Your answer
For you, or those you serve: At this time, is there concern about isolation negatively affecting mental and/or physical health?
No concern
Very concerned
Please describe:
Your answer
For you, or those you serve: At this time, is there concern about decreased social and recreational activities being available?
No concern
Very concerned
Please describe:
Your answer
If you would like Access 2 Independence staff to follow up with you with more information on the services we provide, please leave your e-mail below.
Your answer
Is there anything else you'd like to share?
Your answer
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