PRIORITIES Survey

As required by Federal law, the Disability Law Center of Alaska (DLC) is developing priorities for FY08. The new priorities will help DLC decide what is most important to work on in the next few years. We need to find out what people with disabilities would like help with. Please take a few minutes to fill out this survey.

I. DISABILITY RELATED ISSUES
Please check the types of disability-related problems you have or think are most important for DLC to work on. Please check only one issue in each category.

1. Public or Government Benefits

SSI/SSDI
Medicare
Medicaid/EPSDT
Waivers
ATAP
Other
 

2. Discrimination

Private business
State or local government
Media
Public attitude
Stereotype
Other
 

3. Transportation/Paratransit

Public transportation
Airlines/airplanes
Trains/taxis
Other
 

4. Housing

Accessibility
Affordability
Refusal to rent
Section 8
Discrimination
Other
 

5. Employment/Work

Accessibility
Applying or interviewing for a job/prescreening practices
Getting support to do your job/reasonable accommodations
Termination due to disability
Harassment
Other
 

6. Regional Center Services

Eligibility
Respite
Support living (SLS)
Supported employment (SES)
Independent living services (ILS)
What goes on during your IPP meeting
Problems with your services provider
Money management
Other
 

7. Education

Early intervention services
Special education
Full inclusion programs
Exit exam/accommodations
Access to college/adult education
Other
 

8. Problems with the Law/Criminal Justice

Halfway houses
Jails/prisons
Juvenile halls/youth authority
Diversion programs
Other
 

9. Rights in Residential and/or Other Facilities

Abuse/neglect
Confidentiality of records
Seclusion/restraint
Medication
Privacy (phone calls, mail, visitors, personal relationships)
Quality of care
Recreation (access to grounds, TV, smoking)
Informed consent to procedures
Access to property and money
Conservatorship
Community living services/living where you want
Other
 

10. Other Problem Areas

Health insurance
Access to the judicial system
Assistive technology/durable medical equipment
Citizenship for individuals with disabilities
Services that respect your culture/culturally competent services
Other
 

II. About You (optional)

11. What is your ethnicity/race?

African-American
Alaska Native
Asian/Pacific Islander
Caucasian
Hispanic/Latino
Native American
Other
 

12. Do you have a disability? If yes, please check appropriate category.

Developmental disability
Cerebral palsy
Autism
Epilepsy
Learning
Physical
Mental health
Sensory
None
Wish not to define
Other
 

13. Do you have a family member with a disability? If yes, please check appropriate category.

Developmental
Learning
Physical
Mental health
Sensory
Not applicable
Wish not to define
Other
 

14. Where do you live?

In your own home in the community
With family
State hospital/developmental center
Locked community facility
Board and care/other facility
Group home residential placement
Foster home
Pioneer Home
Other
 

15. What region of Alaska do you live in?

Anchorage/Eagle River
Central/Fairbanks
Kenai Peninsula
Mat-Su Borough
North/Arctic
NW/Nome/Kotzebue
Palmer/Wasilla
Southeast
SW/Dillingham
Valdez/Cordova
West/Bethel
 

16. Are you a/an...

Advocate for people with disabilities
Individual with a disability
Service provider
Other
 

III. Other

17. What is the most important issue that you would like an advocate to help with?

18. Describe what you want your community or services to look like in three to five years.

19. What are the barriers or problems to achieving what you want that you described in your answer to the last question?

20. How do you know about the DLC?

21. Do you have any other suggestions for us?

Thank you for taking the time to complete this survey. Please press Submit to email your survey or print and mail your survey to:

Karen Tessandore
Disability Law Center of Alaska
3330 Arctic Blvd., Suite 103
Anchorage, Alaska 99503

If you have questions or would like more information about this survey or the planning process please call 1-800-478-1234 or e-mail akpa@dlcak.org