MADI Baseline Survey

Question Title

1. Contact information for individual completing survey:

First Name

Last Name

Title/Role

Phone

Organization

Zipcode

Question Title

2. Does your organization/synagogue have any written policies or statements related to inclusion of disabled or neurodivergent community members?

Yes

Question Title

3. If yes, are any of these policies/statements shared publicly?

Yes, they are available on our website

Yes, they are included in printed membership/registration/application materials

Question Title

4. Have you conducted any type of accessibility audit?

Yes

Question Title

5. Do you have an inclusion committee or advisory group?

Yes

Question Title

6. What internal procedures do you use to respond to accommodation requests?

No structure

Informal approach

Clear documented process

Question Title

7. Do your written policies for staff (i.e. employee handbook) reference available accommodations?

Yes

We do not have written policies for staff

Question Title

8. Does your organization/synagogue have a budget line for accommodations or accessibility?

Yes

	Never	Rarely	Sometimes	Often	Always	N/A
Sensory supports (fidgets, noise reduction, sensory-friendly spaces)	Sensory supports (fidgets, noise reduction, sensory-friendly spaces) Never	Sensory supports (fidgets, noise reduction, sensory-friendly spaces) Rarely	Sensory supports (fidgets, noise reduction, sensory-friendly spaces) Sometimes	Sensory supports (fidgets, noise reduction, sensory-friendly spaces) Often	Sensory supports (fidgets, noise reduction, sensory-friendly spaces) Always	Sensory supports (fidgets, noise reduction, sensory-friendly spaces) N/A
Modified communication (visual schedules, social narratives, written instructions)	Modified communication (visual schedules, social narratives, written instructions) Never	Modified communication (visual schedules, social narratives, written instructions) Rarely	Modified communication (visual schedules, social narratives, written instructions) Sometimes	Modified communication (visual schedules, social narratives, written instructions) Often	Modified communication (visual schedules, social narratives, written instructions) Always	Modified communication (visual schedules, social narratives, written instructions) N/A
Seating or physical space modifications	Seating or physical space modifications Never	Seating or physical space modifications Rarely	Seating or physical space modifications Sometimes	Seating or physical space modifications Often	Seating or physical space modifications Always	Seating or physical space modifications N/A
Sign language interpretation	Sign language interpretation Never	Sign language interpretation Rarely	Sign language interpretation Sometimes	Sign language interpretation Often	Sign language interpretation Always	Sign language interpretation N/A
Captioning for live events	Captioning for live events Never	Captioning for live events Rarely	Captioning for live events Sometimes	Captioning for live events Often	Captioning for live events Always	Captioning for live events N/A
Accessible transportation	Accessible transportation Never	Accessible transportation Rarely	Accessible transportation Sometimes	Accessible transportation Often	Accessible transportation Always	Accessible transportation N/A
Assistive listening devices	Assistive listening devices Never	Assistive listening devices Rarely	Assistive listening devices Sometimes	Assistive listening devices Often	Assistive listening devices Always	Assistive listening devices N/A
Flexible scheduling	Flexible scheduling Never	Flexible scheduling Rarely	Flexible scheduling Sometimes	Flexible scheduling Often	Flexible scheduling Always	Flexible scheduling N/A
Real-time captioning for webinars or virtual programs	Real-time captioning for webinars or virtual programs Never	Real-time captioning for webinars or virtual programs Rarely	Real-time captioning for webinars or virtual programs Sometimes	Real-time captioning for webinars or virtual programs Often	Real-time captioning for webinars or virtual programs Always	Real-time captioning for webinars or virtual programs N/A
Accessible digital documents or communications (tagged PDFs, screen-reader-friendly forms, accessible email formats)	Accessible digital documents or communications (tagged PDFs, screen-reader-friendly forms, accessible email formats) Never	Accessible digital documents or communications (tagged PDFs, screen-reader-friendly forms, accessible email formats) Rarely	Accessible digital documents or communications (tagged PDFs, screen-reader-friendly forms, accessible email formats) Sometimes	Accessible digital documents or communications (tagged PDFs, screen-reader-friendly forms, accessible email formats) Often	Accessible digital documents or communications (tagged PDFs, screen-reader-friendly forms, accessible email formats) Always	Accessible digital documents or communications (tagged PDFs, screen-reader-friendly forms, accessible email formats) N/A
Virtual or hybrid participation options	Virtual or hybrid participation options Never	Virtual or hybrid participation options Rarely	Virtual or hybrid participation options Sometimes	Virtual or hybrid participation options Often	Virtual or hybrid participation options Always	Virtual or hybrid participation options N/A
Dietary accommodations other than providing kosher food	Dietary accommodations other than providing kosher food Never	Dietary accommodations other than providing kosher food Rarely	Dietary accommodations other than providing kosher food Sometimes	Dietary accommodations other than providing kosher food Often	Dietary accommodations other than providing kosher food Always	Dietary accommodations other than providing kosher food N/A
Masks	Masks Never	Masks Rarely	Masks Sometimes	Masks Often	Masks Always	Masks N/A

Never

Rarely

Sometimes

Often

Always

N/A

Sensory supports (fidgets, noise reduction, sensory-friendly spaces)

Sensory supports (fidgets, noise reduction, sensory-friendly spaces) Never

Sensory supports (fidgets, noise reduction, sensory-friendly spaces) Rarely

Sensory supports (fidgets, noise reduction, sensory-friendly spaces) Sometimes

Sensory supports (fidgets, noise reduction, sensory-friendly spaces) Often

Sensory supports (fidgets, noise reduction, sensory-friendly spaces) Always

Sensory supports (fidgets, noise reduction, sensory-friendly spaces) N/A

Modified communication (visual schedules, social narratives, written instructions)

Modified communication (visual schedules, social narratives, written instructions) Never

Modified communication (visual schedules, social narratives, written instructions) Rarely

Modified communication (visual schedules, social narratives, written instructions) Sometimes

Modified communication (visual schedules, social narratives, written instructions) Often

Modified communication (visual schedules, social narratives, written instructions) Always

Modified communication (visual schedules, social narratives, written instructions) N/A

Seating or physical space modifications

Seating or physical space modifications Never

Seating or physical space modifications Rarely

Seating or physical space modifications Sometimes

Seating or physical space modifications Often

Seating or physical space modifications Always

Seating or physical space modifications N/A

Sign language interpretation

Sign language interpretation Never

Sign language interpretation Rarely

Sign language interpretation Sometimes

Sign language interpretation Often

Sign language interpretation Always

Sign language interpretation N/A

Captioning for live events

Captioning for live events Never

Captioning for live events Rarely

Captioning for live events Sometimes

Captioning for live events Often

Captioning for live events Always

Captioning for live events N/A

Accessible transportation

Accessible transportation Never

Accessible transportation Rarely

Accessible transportation Sometimes

Accessible transportation Often

Accessible transportation Always

Accessible transportation N/A

Assistive listening devices

Assistive listening devices Never

Assistive listening devices Rarely

Assistive listening devices Sometimes

Assistive listening devices Often

Assistive listening devices Always

Assistive listening devices N/A

Flexible scheduling

Flexible scheduling Never

Flexible scheduling Rarely

Flexible scheduling Sometimes

Flexible scheduling Often

Flexible scheduling Always

Flexible scheduling N/A

Real-time captioning for webinars or virtual programs

Real-time captioning for webinars or virtual programs Never

Real-time captioning for webinars or virtual programs Rarely

Real-time captioning for webinars or virtual programs Sometimes

Real-time captioning for webinars or virtual programs Often

Real-time captioning for webinars or virtual programs Always

Real-time captioning for webinars or virtual programs N/A

Accessible digital documents or communications (tagged PDFs, screen-reader-friendly forms, accessible email formats)

Accessible digital documents or communications (tagged PDFs, screen-reader-friendly forms, accessible email formats) Never

Accessible digital documents or communications (tagged PDFs, screen-reader-friendly forms, accessible email formats) Rarely

Accessible digital documents or communications (tagged PDFs, screen-reader-friendly forms, accessible email formats) Sometimes

Accessible digital documents or communications (tagged PDFs, screen-reader-friendly forms, accessible email formats) Often

Accessible digital documents or communications (tagged PDFs, screen-reader-friendly forms, accessible email formats) Always

Accessible digital documents or communications (tagged PDFs, screen-reader-friendly forms, accessible email formats) N/A

Virtual or hybrid participation options

Virtual or hybrid participation options Never

Virtual or hybrid participation options Rarely

Virtual or hybrid participation options Sometimes

Virtual or hybrid participation options Often

Virtual or hybrid participation options Always

Virtual or hybrid participation options N/A

Dietary accommodations other than providing kosher food

Dietary accommodations other than providing kosher food Never

Dietary accommodations other than providing kosher food Rarely

Dietary accommodations other than providing kosher food Sometimes

Dietary accommodations other than providing kosher food Often

Dietary accommodations other than providing kosher food Always

Dietary accommodations other than providing kosher food N/A

Masks

Masks Never

Masks Rarely

Masks Sometimes

Masks Often

Masks Always

Masks N/A

	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	Understanding accessibility, adaptations and logistical considerations for programming Novice (inexperienced or brand new)	Understanding accessibility, adaptations and logistical considerations for programming Emerging (starting to develop)	Understanding accessibility, adaptations and logistical considerations for programming Competent (can do the basics)	Understanding accessibility, adaptations and logistical considerations for programming Advanced (can do skillfully)
Consistently and successfully implementing accommodations	Consistently and successfully implementing accommodations Novice (inexperienced or brand new)	Consistently and successfully implementing accommodations Emerging (starting to develop)	Consistently and successfully implementing accommodations Competent (can do the basics)	Consistently and successfully implementing accommodations Advanced (can do skillfully)
Marketing programs through the lens of accessibility	Marketing programs through the lens of accessibility Novice (inexperienced or brand new)	Marketing programs through the lens of accessibility Emerging (starting to develop)	Marketing programs through the lens of accessibility Competent (can do the basics)	Marketing programs through the lens of accessibility Advanced (can do skillfully)
Communicating the role of Jewish values in creating an inclusive culture	Communicating the role of Jewish values in creating an inclusive culture Novice (inexperienced or brand new)	Communicating the role of Jewish values in creating an inclusive culture Emerging (starting to develop)	Communicating the role of Jewish values in creating an inclusive culture Competent (can do the basics)	Communicating the role of Jewish values in creating an inclusive culture Advanced (can do skillfully)

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

Understanding accessibility, adaptations and logistical considerations for programming Novice (inexperienced or brand new)

Understanding accessibility, adaptations and logistical considerations for programming Emerging (starting to develop)

Understanding accessibility, adaptations and logistical considerations for programming Competent (can do the basics)

Understanding accessibility, adaptations and logistical considerations for programming Advanced (can do skillfully)

Consistently and successfully implementing accommodations

Consistently and successfully implementing accommodations Novice (inexperienced or brand new)

Consistently and successfully implementing accommodations Emerging (starting to develop)

Consistently and successfully implementing accommodations Competent (can do the basics)

Consistently and successfully implementing accommodations Advanced (can do skillfully)

Marketing programs through the lens of accessibility

Marketing programs through the lens of accessibility Novice (inexperienced or brand new)

Marketing programs through the lens of accessibility Emerging (starting to develop)

Marketing programs through the lens of accessibility Competent (can do the basics)

Marketing programs through the lens of accessibility Advanced (can do skillfully)

Communicating the role of Jewish values in creating an inclusive culture

Communicating the role of Jewish values in creating an inclusive culture Novice (inexperienced or brand new)

Communicating the role of Jewish values in creating an inclusive culture Emerging (starting to develop)

Communicating the role of Jewish values in creating an inclusive culture Competent (can do the basics)

Communicating the role of Jewish values in creating an inclusive culture Advanced (can do skillfully)

MADI Baseline Survey

Question Title

1. Contact information for individual completing survey:

Question Title

2. Does your organization/synagogue have any written policies or statements related to inclusion of disabled or neurodivergent community members?

Question Title

3. If yes, are any of these policies/statements shared publicly?

Question Title

4. Have you conducted any type of accessibility audit?

Question Title

5. Do you have an inclusion committee or advisory group?

Question Title

6. What internal procedures do you use to respond to accommodation requests?

Question Title

7. Do your written policies for staff (i.e. employee handbook) reference available accommodations?

Question Title

8. Does your organization/synagogue have a budget line for accommodations or accessibility?

Question Title

9. Which of these are available at your organization/synagogue?

Question Title

10. Please indicate how often your organization/synagogue provides the following types of accommodations:

Question Title

11. As of today, where would you rank your organization in each of the following areas?

MADI Baseline Survey

Question Title

* 1. Contact information for individual completing survey:

Question Title

* 2. Does your organization/synagogue have any written policies or statements related to inclusion of disabled or neurodivergent community members?

Question Title

* 3. If yes, are any of these policies/statements shared publicly?

Question Title

* 4. Have you conducted any type of accessibility audit?

Question Title

* 5. Do you have an inclusion committee or advisory group?

Question Title

* 6. What internal procedures do you use to respond to accommodation requests?

Question Title

* 7. Do your written policies for staff (i.e. employee handbook) reference available accommodations?

Question Title

* 8. Does your organization/synagogue have a budget line for accommodations or accessibility?

Question Title

* 9. Which of these are available at your organization/synagogue?

Question Title

* 10. Please indicate how often your organization/synagogue provides the following types of accommodations:

Question Title

* 11. As of today, where would you rank your organization in each of the following areas?

1. Contact information for individual completing survey:

2. Does your organization/synagogue have any written policies or statements related to inclusion of disabled or neurodivergent community members?

3. If yes, are any of these policies/statements shared publicly?

4. Have you conducted any type of accessibility audit?

5. Do you have an inclusion committee or advisory group?

6. What internal procedures do you use to respond to accommodation requests?

7. Do your written policies for staff (i.e. employee handbook) reference available accommodations?

8. Does your organization/synagogue have a budget line for accommodations or accessibility?

9. Which of these are available at your organization/synagogue?

10. Please indicate how often your organization/synagogue provides the following types of accommodations:

11. As of today, where would you rank your organization in each of the following areas?