Introduction

The Michigan Statewide Independent Living Council is conducting a survey to gather information about programs and services that provide support and opportunities for people who have disabilities to live independently in the community. The information collected will help to assess how those programs and services are meeting the needs of people who have disabilities living in Michigan. Results of the survey will provide the Statewide Independent Living Council with the information necessary to work with advocates and policy makers to create new initiatives and to enhance existing services for Michiganders who have disabilities.

Your participation in the process is vital and we appreciate your time and consideration in completing this survey. The Statewide Independent Living Council needs to hear directly from people who have disabilities, their family members, friends, caregivers and other stakeholders.

If you have any difficulty taking this survey, please contact Tracy Brown at #517-371-4872 or by email: tracy@misilc.orgĀ 

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* 1. What is your zip code?

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* 2. Definition: A Center for Independent Living is a consumer controlled, community based, cross disability, nonresidential private nonprofit agency that is designed and operated within a local community by individuals with disabilities. Independent Living philosophy is a framework for social justice.

Have you received services from one of these Centers for Independent Living (CIL)? (Ann Arbor CIL, Blue Water CIL, Disability Network Capital Area, Disability Advocates of Kent County, Disability Network SouthWest Michigan, Disability Connection West Michigan, disABILITY Connections, Disability Network Lakeshore, Disability Network Mid-Michigan, Disability Network Northern Michigan, Disability Network Oakland & Macomb, Disability Network Wayne-County Detroit, Superior Alliance for IL, The Disability Network)

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* 3. If yes, did you get the help you needed?

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* 4. Were you satisfied with the results?

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* 5. How old are you?

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* 6. Do you have a guardian?

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* 7. Are you satisfied with the relationship?

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* 8. Race/Ethnicity:

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* 9. What county do you live in?

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* 10. Do you live with?

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* 11. Do you have a disability or condition that limits your activities of daily living?

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* 12. Are you a parent of a disabled child?

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* 13. Are you a parent or relative of a disabled adult?

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* 14. Are you employed to work with the disabled?

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* 15. What advocacy or social service do you need most? (choose up to 5)

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* 16. Have you applied for or used any of these services?

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* 17. Were your needs met?

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* 18. What advocacy or service would you like to receive that you can’t find in your community? Write your answer below.

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* 19. Have you applied but been denied a service or program?

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* 20. Do you know how to appeal decisions made by a service provider?

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* 21. Please indicate which of the following barriers impact living independently in your community?

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* 22. Do you have equal access to programs and activities in your community? 

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* 23. Are you treated equally in your community?

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* 24. What would you like to change in your community?

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* 25. What is your knowledge of and willingness to participate in Independent Living activites? (IL activities: self-help, peer support, mentoring, self-advacacy, systems advocacy, information/referral, rights training, disability identity and culture)

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* 26. What is your socio-economic status, do you have enough food, shelter, friends, work, opportunity?

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* 27. Do you feel safe in your community?

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* 28. Are you satisfied with your life?

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* 29. Do you have people who care about you?

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* 30. What do you worry about?

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* 31. What have we not asked you about that you feel is important regarding your independent living experiences, services, and barriers in Michigan?

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* 32. Please write your email address here to receive updates from the SILC:

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