2011 MDRS Needs Assessment Survey

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1. Please identify yourself as one or more of the following:
2. Are you White, Black or African-American, American Indian or Alaskan Native, Asian, Native Hawaiian or other Pacific islander, or some other race?
3. What county do you live in?
4. Do you need ongoing help in order to work as a person with a disability? (Job coach, transportation, assistive technology, specialized job training, etc.)
5. Which of these services do you need in order to work? (Please choose all that apply.)
6. Have you ever used a WIN (Workforce Investment Network) Job Center for help finding a job or job training services?
7. If you answered yes to question 6, what type services did you receive? (You may check more than one)
8. In your opinion, the top 5 needs that keep people from working are (rank in order of importance to you with number 1 being the best):
1
2
3
4
5
9. Are you aware of the services offered at AbilityWorks, Addie McBryde Center, REACH Center for the Blind, and/or Goodwill Industries?
10. Do you believe more community resources are needed to help people with disabilities in Mississippi?

This concludes the survey--THANK-YOU FOR YOUR ASSISTANCE.
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