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MADI Baseline Survey
1.
Contact information for individual completing survey:
First Name
Last Name
Title/Role
Email
Phone
Organization
Zipcode
2.
Does your organization/synagogue have any written policies or statements related to inclusion of disabled or neurodivergent community members?
Yes
No
3.
If yes, are any of these policies/statements shared publicly?
No
Yes, they are available on our website
Yes, they are included in printed membership/registration/application materials
4.
Have you conducted any type of accessibility audit?
No
Yes
5.
Do you have an inclusion committee or advisory group?
No
Yes
6.
What internal procedures do you use to respond to accommodation requests?
No structure
Informal approach
Clear documented process
7.
Do your written policies for staff (i.e. employee handbook) reference available accommodations?
Yes
No
We do not have written policies for staff
8.
Does your organization/synagogue have a budget line for accommodations or accessibility?
No
Yes
9.
Which of these are available at your organization/synagogue?
Enhanced air filtration / ventilation systems (e.g., HEPA filters, upgraded HVAC)
Main entrance or clearly marked side entrance accommodates a wheelchair
Elevators, ramps, or lifts provide access to entire facility
Restrooms (at least 1 per floor) have accessible toilets, sinks, doorways
Multiple seating options available for bodies of all sizes and abilities
Aisles and walkways allow space for people using mobility devices to navigate
Accessible bimah access (if applicable)
Accessible podium to read Torah (if applicable)
Accessible parking or drop-off zone
Wayfinding and signage is clear for those with and without visual disabilities
Website is accessible (e.g., allows keyboard navigation, alt text provided)
Other specialized supports:
10.
Please indicate how often your organization/synagogue provides the following types of accommodations:
Never
Rarely
Sometimes
Often
Always
N/A
Sensory supports (fidgets, noise reduction, sensory-friendly spaces)
Never
Rarely
Sometimes
Often
Always
N/A
Modified communication (visual schedules, social narratives, written instructions)
Never
Rarely
Sometimes
Often
Always
N/A
Seating or physical space modifications
Never
Rarely
Sometimes
Often
Always
N/A
Sign language interpretation
Never
Rarely
Sometimes
Often
Always
N/A
Captioning for live events
Never
Rarely
Sometimes
Often
Always
N/A
Accessible transportation
Never
Rarely
Sometimes
Often
Always
N/A
Assistive listening devices
Never
Rarely
Sometimes
Often
Always
N/A
Flexible scheduling
Never
Rarely
Sometimes
Often
Always
N/A
Real-time captioning for webinars or virtual programs
Never
Rarely
Sometimes
Often
Always
N/A
Accessible digital documents or communications (tagged PDFs, screen-reader-friendly forms, accessible email formats)
Never
Rarely
Sometimes
Often
Always
N/A
Virtual or hybrid participation options
Never
Rarely
Sometimes
Often
Always
N/A
Dietary accommodations other than providing kosher food
Never
Rarely
Sometimes
Often
Always
N/A
Masks
Never
Rarely
Sometimes
Often
Always
N/A
11.
As of today, where would you rank your organization in each of the following areas?
Novice (inexperienced or brand new)
Emerging (starting to develop)
Competent (can do the basics)
Advanced (can do skillfully)
Understanding accessibility, adaptations and logistical considerations for programming
Novice (inexperienced or brand new)
Emerging (starting to develop)
Competent (can do the basics)
Advanced (can do skillfully)
Consistently and successfully implementing accommodations
Novice (inexperienced or brand new)
Emerging (starting to develop)
Competent (can do the basics)
Advanced (can do skillfully)
Marketing programs through the lens of accessibility
Novice (inexperienced or brand new)
Emerging (starting to develop)
Competent (can do the basics)
Advanced (can do skillfully)
Communicating the role of Jewish values in creating an inclusive culture
Novice (inexperienced or brand new)
Emerging (starting to develop)
Competent (can do the basics)
Advanced (can do skillfully)
