Community Needs
Exit this survey
*
1
. Are you a parent, professional, or family member of an individual with a disability (Check all that apply)?
Are you a parent, professional, or family member of an individual with a disability (Check all that apply)?
Parent
Professional
Family member
Other
*
2
. What do you see as the biggest need for individuals with disabilities, in the community?
What do you see as the biggest need for individuals with disabilities, in the community?
*
3
. Do you have a need for an after school/work recreational center, that would be available for individuals 10 and up (with or without disabilities)
Do you have a need for an after school/work recreational center, that would be available for individuals 10 and up (with or without disabilities)
Yes
No
*
4
. Is your need for (check all that apply)?
Is your need for (check all that apply)?
Individual 10-15 with disability
Individual 10-15 without disability
Individual 16-21 with disability
Individual 16-21 without disability
Individual 22+
N/A
Other (please specify)
*
5
. What types of programs would you like to see at the recreation center (Check all that apply)?
What types of programs would you like to see at the recreation center (Check all that apply)?
Dance
Martial arts
Exercise programs
Tutoring/homework help
Therapies
Other (please specify)
6
. Would you be willing to pay tuition for your child/children to attend a recreation center?
Would you be willing to pay tuition for your child/children to attend a recreation center?
Yes
No
N/A
7
. How much would you be willing to pay per child for such a center?
How much would you be willing to pay per child for such a center?
$25/week
$30/week
$35/week
$40/week
N/A
*
8
. What other services would you like to see the Red River Valley Down Syndrome Society provide for the community?
What other services would you like to see the Red River Valley Down Syndrome Society provide for the community?
Powered by
SurveyMonkey
Check out our
sample surveys
and create your own now!
Javascript is required for this site to function, please enable.