The purpose of this survey is to better understand the needs within our community of people with different abilities.  

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* 1. How would you rate the services that the Village of Homer Glen currently offers people with different abilities? 

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* 2. Please rank the following services in order of importance from 1-5 where 1 is most important to you and 5 is least important to you.  

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* 3. Are there any additional services not included in question 2 that you feel are important?

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* 4. Please select categories that you believe are needs within each age group?

  Toddler Children  Adults  Seniors
Special recreation
Access to buildings 
Access to open space 
Basic needs (food, shelter, clothing, etc.) 
Transportation 
Equipment 

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* 5. Please list any support groups that you and/or your family or friends belong to

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* 6. Would you be interested in volunteering for events hosted by the Ability Awareness Committee? 

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* 7. If you answered yes to question 6, what is your preferred method of contact?

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* 8. Does anyone in your household have a disability? 

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* 9. Additional Comments or Suggestions: 

0 of 9 answered
 

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