2020 Maine SILC Needs Assessment Survey

Maine SILC is conducting this survey to gather information about services that provide support to people with disabilities in Maine.  The information you provide will help set goals for the next three years.

We will ask questions about what you feel is important for people with disabilities.  You do not have to give any personal information.  This survey will not change any services you receive.

Thank you for your time and feedback!

Question Title

1. I am...

Question Title

2. What town do you live in?

Question Title

3. What services do you currently use or have you used in the last 12 months?  (Check all that apply)

Question Title

4. What services would you like to use but have not been able to receive? (Check all that apply)

Question Title

5. Do you know who to call to get services?

Question Title

6. Are you on a wait list for services?

Question Title

7. Do you need any of the following to access your home, that you do not have? (Check all that apply)

Question Title

8. Do any of the following prevent you from participating in the community? (Check all that apply)

Question Title

9. Do any of the following prevent you from living independently?  (Check all that apply)

Question Title

10. Are there other areas in your daily life that you are concerned about?

Question Title

11. Which of these best describe you?

Question Title

12. Which of the following services would help you transition from high school to adulthood? (Check all that apply)

Question Title

13. Looking at the list below, what do you feel are the top 5 areas the Maine Statewide Independent Living Council should focus on in the next three years?

Question Title

14. Is there anything not mentioned in this survey that needs to be addressed for people with disabilities?

Question Title

15. Do you have any ideas or suggestions to improve the lives of people living with a disability?

T