Have your or a loved one lost services as a result of the funding cuts via DMRS? ( for example, have you lost Behavior, Speech, PT, OT, Nutrition, Supported Living, or any other service once provided by DMRS)

If you answered yes to the above question, please list the service(s) that you have lost. for example, Behavior Services, Physical Therapy Services, Occupational Therapy Services, etc.

3. If you have lost a service have you filed an appeal?

If you answered yes to the above question, was your appeal denied?

Have you or a loved one been harmed in any way as a result of the cuts? (For example, have you or your loved one received medical treatment for any injuries sustained or have you or your loved on been hospitalized due to a medical or psychiatric emergency)

If you answered yes to the above question how long did your injury last or how long were you hospitalized?

Have you or your loved one been told they will have to have a roommate or additional roommates?

Have you or your loved one been denied supported living services such as personal assistant or community based services?

Have you or your loved one been denied personal assistant services from a family member?

Are there any other services denied that you would like to add? Or are there any comments that you would like to make?