"Empowering people with disabilities to live independently in our community."

CONSUMER SURVEY

We would like your feedback. Please take a few moments to complete the following survey in order to better guide us as we continue to develop programs and activities here at Advocates for Access.

Please check any specialized services that you have received from Advocates for Access:
Deaf Services Housing Referral Youth Services Voter Registration Disability Awareness Personal Assistant Services Other:	Reintegration Services Interpreter Referral Seminars/Workshops Site Accessibility Surveys Free Amplified Phone Independent Living Skills Training Information and Referral
When you contacted Advocates for Access the staff was helpful:
Comments:
I am aware of what Advocates for Access services are and how they can help me.
Comments:
Advocates for Access services helped me to live more independently.
Comments:
Advocates for Access staff treated me with respect.
Comments:
Advocates for Access staff responded to my needs in a timely manner.
Comments:
What types of workshops would you like to see at Advocates for Access in the next year? If you currently are not working or active in the community, what would have to happen in order for you to go to work or become more active? What goals would you like Advocates for Access to accomplish in the next three years? What are the best things happening for people with disabilities in your community? How have things improved in your community over the past five years? What are the biggest barriers facing people with disabilities in your community? In your own opinion, are the services you need accessible to you in the community? What can be done to improve this access? In what ways would you consider yourself to be more independent than you were before your involvement with Advocates for Access? Please use the space below to let us know if you have any additional comments or questions you feel are important.
Name:
Phone number:
Email:

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4450 N. Prospect Road, Suite C8, Peoria Heights, IL 61616
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