Share Your Voice & Experiences!

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Hi! My name is Ria! Having my own experience with disabilities and knowing people with disabilities, I am super passionate about disability accessibility and inclusivity. I am distributing a survey that gets direct feedback from people with disabilities regarding what they want to be changed in society. I can then use this to advocate for the disabled community and educate companies and people in my daily life.

Your privacy is important to me!

I will not be collecting any personally identifiable information. I will be using your responses to advocate for the disabled community and educate companies and people in my daily life.

Who is filling out this survey? *

An individual with a disability, independently

An individual with a disability with the support of a family member/friend/caregiver

Other:

What country are you currently located in? This helps provide further context as different countries handle accessibility differently. *

If you feel comfortable sharing, what challenges/disabilities/conditions do you have or that the person has that you are filling this out on behalf of. I want to be able to have context for your responses. (Optional)

How likely would you be to choose to frequent, visit, and trust a place that received a disability inclusion training and broadcasted those efforts, over one of the same type of place that did not? *

1 - not likely at all

2 - slightly likely

3 - likely

4 - very likely

5 - I would choose the one that received a disability inclusion training and broadcasted those efforts every time!

How often do you feel ignored or mistreated, intentionally or unintentionally, when interacting with employees/coworkers at a location?
*

Never

Occasionally

Most of the time

Almost always

Which of the following aspects of an experience makes you feel most respected, included, seen, heard and/or comfortable? (only choose one)
*

Physical Accessibility

Easy-to-find and accurate accessibility information of a physical location

Digital Accessibility of all digital platforms

Access to content (written content provided audibly, audible content written down, braille, tactile characters, etc.

Communication (ASL interpretation, clear and concise instructions, etc.)

Policies (flexible attendance methods, sensory-friendly days/spaces, etc.)

How I am interacted with and treated (inclusive language, avoiding assumptions, etc.)

Disability Representation (seeing employees with disabilities, seeing people with disabilities in marketing, etc.)

To ensure that you are reading carefully, please select "neither agree nor disagree" for this question. *

Agree

Disagree

Neither agree nor disagree

Required

Have you ever refused to return to a business due to a lack of accessibility/negative experience because of your disability?
*

Never

Occasionally

Most of the time

Almost always

If someone wants to help you with something, how would you prefer they offer help?
*

Wait for me to ask, don't offer me help

Offer help proactively (when you enter a location or asking for accommodations on a registration form)

Either of the above

Offer help reactively if I look like I'm struggling with something

Which of the following do you identify with? (Select all that apply.) *

People with disabilities

Disabled community

People of all abilities

People of all disability types

People of all abilities and disability types

People with special needs

None of the above

Required

Throughout the remainder of the survey, more specific questions related to disabilities will be asked. To begin, please select your primary disability.

For each additional section, you will be able to identify additional disabilities, and the survey will filter out questions that do not apply to your unique circumstances.

Note: please only choose an option that you identify with.

Neurodiverse/Intellectual and Developmental Disabilities

Invisible Disability/Chronic Illness/Mental Health Challenge

Mobility, Body Structure, or Dexterity Disability

Blind or Low Vision

D/deaf or Hard of Hearing

Speech Disability

None of the above/I do not feel comfortable specifying

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