1. Purpose

Please take a couple of minutes to fill this out. The purpose of this survey is to gain insight from the occupational therapy community who have contributed to Rebuilding Together programs. The data collected will aid in developing an online toolkit of resouce materials available on AOTA's website to encourage others in the occupational therapy community to become involved with the local Rebuilding Together affiliate. Your input is vital in order to make this project successful! Thank you for taking your valuable time to fill out this survey.


* 2. Please check the box identifying your skill level regarding home modification assessment and recommendations.

* 3. Which home safety assessments do you use to evaluate the homes? (check all that apply)

* 4. How did you learn about Rebuilding Together?

* 5. What connection led you to volunteer with Rebuilding Together?

* 6. Why do you volunteer for Rebuilding Together? (check all that apply)

* 7. Please describe how you initially contacted your local affiliate and offered your services or inquired about how you could help. If you were not the initial contact but know those circumstances, please provide any information you know about how the relationship was initiated.

* 8. How has volunteering with Rebuilding Together improved your knowledge and skill level in terms of home modification assessments and recommendations?

* 9. Has your volunteer work with Rebuilding Together expanded networking options in the community that were valuable to your career?

* 10. In which aspect of the Rebuilding Together process are you involved (check all that apply)?

* 11. What types of "tools" do you use? (Please check all that apply)

* 12. What do you think would be helpful information to include in a toolkit for anyone in the OT community interested in becoming involved with Rebuilding Together?

* 13. In your experiences with Rebuilding Together, have you taken the opportunity to educate others about occupational therapy?

* 14. What is the process/procedures of your OT services? (Please check all that apply)

* 15. What do you think are the strengths of the collaboration process between Rebuilding Together and you (the OT/OTA/OTS)? Challenges?

* 16. What suggestions do you have to help improve the collaboration process between the Rebuilding Together team and you to ensure an efficient outcome for all parties involved (Rebuilding Together staff, occupational therapy practitioners, volunteers, and homeowners)?

* 17. In what phase of your OT Education did you decide to work on Rebuilding Together projects? (check all that apply)

* 18. Have you supervised OT/OTA student(s) involved with the Rebuilding Together program?

* 19. Have your home modification contributions as an occupational therapy practitioner or student been covered by your local media?

* 20. Have you submitted any stories in regards to your work with Rebuilding Together to your local media or other sources? If so, please describe or submit article.

* 21. Please provide contact information if you are willing to share any resources you have developed for your Rebuilding Together affiliate (e.g. assessments, sample reports, training materials, etc.)