Individual and Family Needs Survey

The Productive Living Board (PLB) uses St. Louis County property tax dollars to help fund services for individuals with intellectual and developmental disabilities (IDD).

We want to hear from people with IDD and their families, even if you don’t use any services right now. Your feedback will help us understand what’s needed and how we can better support the community.

Complete the survey for each individual with IDD. Answer all questions including the demographic information from the perspective of a person with a disability.

If you have questions about this survey, please contact the PLB office at (314) 726-6016.

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* 1. I am completing this survey w 0

About myself

On behalf of a person with an intellectual and developmental disability (IDD)

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* 2. Enter your zip code w 0

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* 3. Which of the following best describes your gender? w 0

Male

Female

Non-binary

Prefer to self-describe:

Prefer not to answer

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* 4. Which of the following best describes your race? (Select all that apply) w 0

American Indian

Asian/Asian American

Bi-racial

Black/African American

Hispanic/Latino

White/Caucasian

Other, please list:

Prefer not to answer

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* 5. What is your age range? w 0

0-4

5-12

13-20

21-35

36-50

51-64

65+

Prefer not to answer

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* 6. Which of the following best describes your primary disability? w 0

Autism

Cerebral Palsy

Down Syndrome

Epilepsy

Intellectual Disability

Learning Disability

Traumatic Brain Injury

Other, please list:

Prefer not to answer

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* 7. Are your needs being met? w 0

Yes

Somewhat

Yes

Somewhat