Client Accessibility SurveyClient Accessibility Survey

1. Is there anything about our buildings, entrances, waiting rooms, hallways, offices or parking lots that could be a barrier to service?

Is there anything about our buildings, entrances, waiting rooms, hallways, offices or parking lots that could be a barrier to service? No

Yes, if Yes, please explain

Comments

2. Is there anything about the location of our buildings and offices that could be a barrier?

Is there anything about the location of our buildings and offices that could be a barrier? No

Yes, if Yes, please explain

Comments

3. Is there anything about how staff talk to people and act toward them that could be a barrier?

Is there anything about how staff talk to people and act toward them that could be a barrier? No

Yes, if Yes, please explain

Comments

4. Are the charges for services a barrier?

Are the charges for services a barrier? No

Yes, if Yes, please explain

Comments

5. Is there anything about our staff that could be a barrier?

Is there anything about our staff that could be a barrier? No

Yes, if Yes, please explain

Comments

6. Is it difficult to communicate with our staff or read our material?

Is it difficult to communicate with our staff or read our material? No

Yes, if Yes, please explain

Comments

7. Is there anything else that interferes with our ability to serve people?

Is there anything else that interferes with our ability to serve people? No

Yes, if Yes, please explain

Comments

8. Comments:

Comments: