Election Accessibility
Exit this survey
1. Personal Information
6%
To help Disability Law & Advocacy Center of Tennessee best serve you, please share the following information.
*
1
. Are you:
Are you:
Person with a disability
Sibling of a person with a disability
Parent of a person with a disability
Friend or Extended Family of a person with a disability
Caregiver or Disability Service Provider
Other (please specify)
*
2
. Where do you live?
Where do you live?
City/Town:
ZIP/Postal Code:
3
. Are you:
Are you:
Male
Female
4
. Are you:
Are you:
Native Hawaiian or Pacific-Islander
Native American
Asian
White or Caucasion
Hispanic
Black or African-American
Other (please specify)
5
. How old are you?
How old are you?
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