The City of Bonney Lake is in the process of drafting an Americans with Disabilities Act (ADA) Self-Evaluation and Transition Plan.  The City would like your help in this process and welcomes your feedback on barriers that you may have experienced when accessing City programs, services and facilities.  The following questionnaire will be used by the City to gain an understanding of how accessible programs, services and facilities are to members of the community.

Step 1: Review the Self-Evaluation Memo.  Please read the draft City of Bonney Lake ADA Self-Evaluation Summary Memo prior to completing the questionnaire.

Step 2: Complete this questionnaire.  Provide your feedback on the Self-Evaluation using the online survey tool.

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* 1. Which of the following best describes your relationship with the City of Bonney Lake?

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* 2. How often do you use City of Bonney Lake facilities and services?

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* 3. How do you travel to City facilities?

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* 4. Do you use a mobility device?  If so, please describe below:

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* 5. Do you self-identify as having visual and/or hearing impairments?

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* 6. Have you experienced any barriers when accessing City facilities, services or programs? If so, please share the location and specific nature of the concern:

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* 7. What destinations are the most important for making improvements in accessibility? Please describe below:

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* 8. Have you requested an accommodation, auxiliary aids, or specialized equipment for a disability from the City of Bonney Lake?

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* 9. If you have requested an accommodation, auxiliary aides, or specialized equipment, was the request fulfilled?

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* 10. Have you read the draft City of Bonney Lake ADA Self-Evaluation Summary Memo?

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* 11. Do you feel that the draft City of Bonney Lake ADA Self-Evaluation Summary Memo captures an accurate picture of access to City programs, services and facilities?

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* 12. If not, please provide additional information on what was missed below:

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* 13. Do you have additional questions or concerns related to barriers to accessibility in the City?  If so, please share below:

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* 14. Contact information (optional)

Thank you for participating in the Bonney Lake ADA Self-Evaluation Questionnaire! Your responses will be used by the City to gain an understanding of how accessible programs, services, and facilities are to members of the community.

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