Individual Voter Survey - November 2016

1. Is Your Polling Place Accessible? CIDNY's General Election Day Voter Survey

The Americans with Disability Act requires that people with disabilities be provided full and equal opportunity to vote in all elections. This survey will ask you questions to determine whether, in your experience, Manhattan polling sites are meeting that standard. We will use the results from this short survey to draft a series of recommendations for the Board of Elections to implement prior to the November 2016 General Election. Thank you in advance for your participation!

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* 1. Poll Site Information

Borough or County:

Poll Site Name:

Poll Site Address:

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* 2. If you have a disability, please check all that apply: (OPTIONAL - used for demographic statistics only)

Physical

Hearing

Visual

Cognitive

Mental Health

Intellectual

Other (please specify)

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* 3. How did you mark your ballot during this election?

With a Ballot Marking Device (BMD)

With a paper ballot

Comment

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* 4. Did the poll worker mention that you could use a Ballot Marking Device (BMD)?

Yes

Don't know

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* 5. Was the pathway to the BMD voting machine and the area around it clear so that you could access it easily?

Yes

Comment

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* 6. Was the poll worker able to give you enough information so that you could use the BMD successfully?

Yes

Comment

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* 7. Did the BMD work without problems?

Yes

If no, what were the problems?

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* 8. Were you able to vote privately and independently using the BMD?

Yes

Unsure

If no, why not?

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* 9. Were you able to vote within what you believe is a reasonable amount of time?

Yes

How long did it take to vote?

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* 10. How was your ballot handled after marking it?

I put it in the scanner

Put in a folder by poll worker

Given to the poll worker at the scanner who scanned it

Other, please explain in the comment field below.

Comment

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* 11. Did you experience any of the following when you voted? (Check all that apply)

Confusing or missing signs outside the poll site

Hard to find accessible entrance

Locked doors at accessible entrance

Doors that were hard to open

Doors/paths that were too narrow

Problem ramps

Confusing path to voting

Long path to voting

Items blocking access to accessible entrance

Items blocking access in voting area

Were there doorways or pathways you couldn't get through because of lips or other barriers

Please explain barriers:

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* 12. How would you rate your overall experience voting during this election?

Positive

Neutral

Negative

Comment

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* 13. Was your polling site crowded when you went to vote?

Yes

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* 14. Were there enough poll workers at your site to assist you?

Yes

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* 15. Any suggestions for making improvements for the next election?

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* 16. Do you have any other comments you would like to make about your voting experience for this election?

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* 17. Optional: Your information will be kept confidential. In order to present a report of findings to the Board of Elections, we may want to contact you for further information about your voting experience.

Name:

Address:

Address 2:

City/Town:

ZIP:

Email Address:

Phone Number: