Annual Advocacy Survey on SERVICE PRIORITIES
RequiredRequired Question(s)
As a person who shares our commitment to the rights of individuals with disabilities, we hope you will take a few minutes to complete and return this survey as the information from you will help NDALC develop our annual service priorities for the 2021 fiscal year. 

Please complete the survey by August 21, 2020. 

If you have any questions, please call one of our offices at - 775-333-7878 (Reno) or 702-257-8150 (Las Vegas)

Thank you!
 
Required 1.

Please select the top 3 priorities you believe to be the important issues within the Disability Community...

Abuse, Neglect, or Rights Violations
Access (to services, programs, service animals)
Assistive Technology
Community Integration/Olmstead Issues
Education
Employment Preparation - Vocational Rehabilitation - Access to Employment Services
Health Care - Medicaid
Housing Issues in supported living arrangements, community living arrangements, and group homes
Rights in Facilities, including group homes, hospitals, and jails
Transportation
Voting Rights and Access
Other  
Required 2.

What do you think is the single, biggest barrier to quality of life for individuals with disabilities in Nevada?

 

350 characters left.
Required 3.

What tool would you like NDALC to use to address the barrier you identified in survey question number 2?

Technical Assistance
Information and Referral
Training on Your Rights
Investigation of Abuse and/or Neglect
Systemic Advocacy
Community Education
Litigation
Other  
Required 4.

What is the one thing you would like to see NDALC do this next year?

 

350 characters left.
Required 5.

Please check the one category that best describes the person whose opinions are expressed in this survey...

Person with a disability
Relative of a person with a disability
Friend of a person with a disability
Service Provider (describe in comment box)
Other  
  • Comment:

  • 500 characters left.
Required 6.

Have your rights or services been impacted by COVID-19?

YES
NO
Required 7.

If you answered YES to the above question, please describe any problems you are experiencing...

If you answered NO to the above question, please insert N/A.

 

1000 characters left.
Required 8.

What County do you live in?

 

50 characters left.
9.
Please enter the information indicated below.

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code: