ADA Self-Evaluation Questionnaire
Evaluate how well your organization, facility, website, documents, or services support ADA accessibility.
Which area does this self-evaluation primarily address?
*
Physical Facility
Website
Documents
Services
Other
How would you rate your current level of ADA accessibility?
*
1
2
3
4
5
Which of the following accessibility features are currently available?
*
Accessible entrances
Accessible restrooms
Accessible parking
Accessible website content
Accessible documents
Auxiliary aids (e.g., sign language, captions)
Staff training on accessibility
Other
Please indicate the level of accessibility for each area below.
*
Rows
Fully Accessible
Partially Accessible
Not Accessible
Not Applicable
Entrances/Exits
1
2
3
4
Restrooms
5
6
7
8
Parking
9
10
11
12
Website
13
14
15
16
Documents
17
18
19
20
Communication Methods
21
22
23
24
What are the main barriers to accessibility in your organization?
*
Physical barriers (stairs, narrow doors, etc.)
Lack of accessible technology
Inaccessible documents
Limited staff awareness or training
Budget constraints
Other
Has your organization conducted staff training on ADA accessibility within the past 12 months?
*
Yes
No
Planned
What actions have you taken in the past year to improve accessibility?
*
Facility upgrades
Website or digital content improvements
Document remediation
Staff training
Policy or procedure updates
No actions taken
Other
What are your organization's top priorities for ADA accessibility improvement in the next 12 months?
*
Physical facility improvements
Website or digital accessibility
Document accessibility
Staff training
Policy or procedure updates
Other
How would you rate your organization's overall progress toward ADA compliance?
*
1
2
3
4
5
Please describe any additional comments, challenges, or follow-up actions related to ADA accessibility.
Submit
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