Pa Waiting List Campaign Question Title * 1. Are you or your loved one currently on the waiting list for an Intellectual Disability/Autism Waiver? Yes No What is a Waiver? Person with a disability already has a Waiver How do I get on the Waiting List Question Title * 2. Do you or your loved one know what a waiver can do for you? Yes No Question Title * 3. Do you or your loved one need assistance accessing a waiver? Yes No Person with a disability already has a waiver Question Title * 4. If you have a waiver or are on the waiting list, do you or your loved one have a Supports Coordinator? Yes No I don't know We don't have a waiver and are not on the waiting list Other (please specify) Question Title * 5. Would you like to know about any of the following? Registering with you County for Waiver Waiver eligibility Waiting List What is a waiver? What is Medicaid? Other (please specify) Question Title * 6. If you or your loved one have a Waiver, do you know the steps to take to resolve issues? Yes No Question Title * 7. If you have a Waiver, are you having trouble accessing services? Yes No Individual with a disability doesn't have a waiver Question Title * 8. Would you like to learn more about how to talk to your legislator? Yes No Done