Center For Independent Living Options -  Public Independent Living/Peer Support Needs Survey
This survey is designed to assess the service needs of individuals with disabilities living in Southwest Ohio and Northern Kentucky. All responses are optional, and no personal information will be used in any reports, publications, or otherwise disclosed to members of the public. If you have any questions about this survey or CILO programming and services, please contact Patrick Ober, Disability Rights and Advocacy Specialist, at pober@cilo.net.  Thank you very much for your participation and responses!

This survey has three sections, and 17 total questions. It may take between 10-15 minutes to complete.
Sign in to Google to save your progress. Learn more
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy