Survey

Tell the Council What You Think!

Are you a (Check all that apply): Person with a disability
State agency representative
Family member
Advocate
Provider
Other (List in Comments)
Please include your email address if you would like to receive regular email updates from the council:
I. Select the number to the right that best corresponds to the importance that item is to you and/or your family member with a developmental disability. If there are other topics that are important to you that are not listed, please include them on the lines marked “other”. 1 = Not very Important 6 = Very Important
Community-based individualized supports/services:

1
2
3
4
5
6
Accessible/affordable community housing:

1
2
3
4
5
6
Employment services for people with disabilities:

1
2
3
4
5
6
Transportation options for people with disabilities:

1
2
3
4
5
6
Better qualified/better paid direct support professionals (DSP):

1
2
3
4
5
6
Choosing providers who can best meet your needs and priorities:

1
2
3
4
5
6
Inclusive/Appropriate education:

1
2
3
4
5
6
Positive behavior support:

1
2
3
4
5
6
Transition (all ages):

1
2
3
4
5
6
Inclusive daycare/preschool options:

1
2
3
4
5
6
Training for daycare/preschool providers/teachers:

1
2
3
4
5
6
Affordable/Accessible Primary and specialty health services:

1
2
3
4
5
6
Insurance issues:

1
2
3
4
5
6
Community recreation services/options for people with disabilities:

1
2
3
4
5
6
Emergency preparedness and relief:

1
2
3
4
5
6
Consumer rights (Consumer law):

1
2
3
4
5
6
Abuse/neglect/financial exploitation:

1
2
3
4
5
6
Access to buildings and public places (ADA/504 issues):

1
2
3
4
5
6
Other:
Other:
Other:
Please list the three issues that are most important to you and your family that you would like for the AL. Developmental Disabilities Network to consider addressing in its annual planning:
Issue 1:
Issue 2:
Issue 3:
Comments: