City of Portland Transition Plan Public Access Survey

This survey is designed to help the City of Portland locate areas of most significant concern to you, our public, and help us provide better access throughout our community.

1.How would you rate the overall accessibility of the City of Portland facilities and programs?

Poor

Fair

Good

Very Good

2.Do you believe the City is accepting/accommodating of persons with disabilities?

Yes

No

Please explain:

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:

4.Which City buildings do you visit most often?

Please identify other buildings below:

5.Which City parks do you visit most often?

Meadowbrook Park

Richland Park

Golf Course

Please identify other parks below:

6.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:

7.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:

8.Do you have difficulties accessing public schools within Portland due to inaccessibility of sidewalks or curb ramps in front of the school?

Yes

No/Not Applicable

A family member or loved one does

Please identify location or locations below:

9.Have you encountered street or intersection crossings near a City 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:

10.Are there any City 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 City program, service, or activity and describe challenges below:

11.Have you encountered any communication barriers within a City 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:

12.Have you encountered any physical barriers or obstructions within a City 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:

13.Have you encountered any physical barriers or obstructions within a City 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:

14.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:

15.Do you have a disability? (Optional)

Yes, enter details below

No

Please identify the type(s) of disabilities:

16.Information about the ADA Transition Plan may be obtained by contacting Richard Donovan, ADA/504 Coordinator at 615-323-6776, ext. 235 or via email at rdonovan@cityofportlandtn.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 City of Portland ADA Transition Plan team. Only comment and question summaries will be documented in the ADA Transition Plan. Thank you for your input!

Name

Address

Address 2

City/Town

State

ZIP/Postal Code

Email Address

Phone Number