Center for Independence Needs Assessment
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What state, county and zip code do you reside in? *
Are you or do you care for a person with a disability? *
Are you familiar with the Center for Independence and what services we offer? *
Where did you hear about us? 
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Which services do you feel have the greatest unmet need in our community? Please select all that you feel your community does not have enough resources for. *
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Do you work with other agencies? If yes, please list the agencies you work with and if your needs are being met. If no, leave blank.
Do you feel it is easy to access services for the Center for Independence?  *
Working with the Center for Independence has helped me or someone in my life be more independent. *
Do you feel there is a large need for adaptive or general technology training for people with disabilities? *
What can CFI do to better serve our communities? Please provide any comments about your experience with the Center for Independence. *
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