Town of Gilbert ADA Transition Plan Public Access Survey This survey is designed to help the Town of Gilbert locate areas of most significant concern to you, our public, and help us provide better access throughout our community. OK Question Title * 1. How would you rate the overall accessibility of the Town of Gilbert's facilities and programs? Poor Fair Good Very Good OK Question Title * 2. Do you believe the Town is accepting/accommodating of persons with disabilities? Yes No Please explain. OK Question Title * 3. Have you experienced physical barriers or constraints on a pedestrian path or in a facility you currently use or would like to use? Yes No A family member or loved one has Please identify location or locations below. OK Question Title * 4. Which Town buildings do you visit most often? Town of Gilbert Courts Building Town of Gilbert Municipal Hall I Building Town of Gilbert Municipal Hall II Building Town of Gilbert Library Building Please identify other buildings below. OK Question Title * 5. Have you encountered inaccessible sections or poor conditions related to sidewalks? Yes No A family member or loved one has Please identify location or locations below. OK Question Title * 6. Have you encountered locations where curb ramps are missing or inaccessible? Yes No A family member or loved one has Please identify location or locations below. OK Question Title * 7. Have you encountered inaccessible sections or poor conditions related to transit stops? Yes No A family member or loved one has Please identify location or locations below. OK Question Title * 8. Have you encountered inaccessible sections or poor conditions related to Parkway Improvement Districts? Yes No A family member or loved one has Please identify location or locations below. OK Question Title * 9. Do you have difficulties accessing public schools within Gilbert due to inaccessibility of sidewalks or curb ramps in front of the school? Yes No - Not Applicable No difficulties accessing public schools A family member or loved one does Please identify location or locations below. OK Question Title * 10. Have you encountered street or intersection crossings near a Town building or park where lack of pedestrian crossing signals or medians affect your ability to cross the street? Yes No A family member or loved one has Please identify location or locations below. OK Question Title * 11. Are there any Town programs, services, or activities that you would like to participate in or utilize but cannot due to accessibility challenges? Yes No A family member or loved one would Please identify the specific Town program, service, or activity and describe challenges below. OK Question Title * 12. Have you encountered any communication barriers within a Town building or park which prevented you from utilizing or participating in a program, service, or activity? Yes No A family member or loved one has Please identify location or locations below. OK Question Title * 13. Have you encountered any physical barriers or obstructions within a Town building which prevented you from utilizing or participating in a program, service, or activity? Yes No A family member or loved one has Please identify location or locations below. OK Question Title * 14. Have you encountered any physical barriers or obstructions within a Town park which prevented you from utilizing or participating in a program, service, or activity? Yes No A family member or loved one has Please identify location or locations below. OK Question Title * 15. Do you have any general comments or items regarding accessibility that you would like us to be aware of? Yes, enter comments below No Comments: OK Question Title * 16. Do you have a disability? (Optional) Yes, enter details below No Please identify the type(s) of disabilities. OK Question Title * 17. Information about the ADA Transition Plan will be provided on the project webpage, https://www.gilbertaz.gov/departments/human-resources/risk-management/ada-compliance, or may be obtained by contacting Kristin Myers, ADA/504 Coordinator at 480-503-6706 or via email at Kristin.Myers@gilbertaz.gov. If you wish to receive information directly or would like us to contact you regarding any follow-up questions related to your concerns, please include your contact information below. Any information shared will remain confidential and will not be posted, shared, or otherwise made available to anyone outside the Town of Gilbert’s ADA Transition Plan team. Only comment and question summaries will be documented in the ADA Transition Plan. Thank you for your input! Name Address City / Town State Zip / Postal Code Email Address Phone Number OK DONE