Disability-Friendly Community Survey
Help us assess and improve accessibility and inclusion in our community by sharing your experiences and suggestions.
What is your relationship to disability?
*
Person with a disability
Family member or caregiver
Service provider or organization staff
Community member/ally
Other
Which community facilities or services have you used in the past year? (Select all that apply)
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Public transportation
Parks and recreation areas
Healthcare facilities
Educational institutions
Government buildings
Shops and restaurants
Other
How would you rate the overall accessibility of community facilities and services?
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1
2
3
4
5
What are the most common barriers to accessibility you have encountered? (Select all that apply)
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Physical barriers (e.g., steps, narrow doors)
Lack of accessible transportation
Inaccessible restrooms
Communication barriers (e.g., lack of sign language, braille)
Attitudinal barriers (e.g., staff unawareness)
Other
Please share any suggestions or ideas for improving accessibility and inclusion in our community.
Would you like to be contacted for follow-up or to participate in future accessibility discussions?
*
Yes, please contact me
No, I prefer to remain anonymous
If yes, please provide your email address:
example@example.com
Submit Survey
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