COVID-19 - Survey Questions for people with disabilities

We are collecting information about Toronto residents and service users to help us understand:  Who is using our services and programs, the needs of service users, your access of information on COVID 19 and the Vaccines
 
This information will help us provide better services to meet the diverse needs of our service users. All results will be kept confidential, and the results will only be reported at the group or aggregate level. No information that can identify you will be shared.
 
Your questions are voluntary, and you can select ‘prefer not to answer’ for any question you don't want to answer. This will not affect any services you receive from the City of Toronto programs and services. Introduction to the COVID-19 survey in ASL

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* 1. Do you attend an organization, what is the name of the organization?  Question 1 in ASL

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* 2. Role in the organization (for example: leader, participant) : Question 2 in ASL

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* 3. What is your ethnic or cultural background? Question 3 in ASL

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* 4. What is your age group? Question 4 in ASL

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* 5. Do you identify as a person with a disability? Question 5 in ASL

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* 6. If yes, what type of disability do you live with? (If you have more than one disabilities. Please Explain in Other option) Question 6 in ASL

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* 7. Which best describes your current housing situation? Question 7 in ASL

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* 8. Which of the following best describes your current employment status?  Question 8 in ASL

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* 9. Do you experience barriers that limit your ability to fully access or participate in the organization because of the COVID-19 pandemic? If yes, what are some of the barriers? Question 9 in ASL

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* 10. Are you aware of City of Toronto’s COVID-19 Equity Action Plan and the Ontario’s COVID-19 vaccination plan? Question 10 in ASL

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* 11. Who do you rely for source of information and support with regards to COVID-19?  Question 11 in ASL

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* 12. How has the City of Toronto’s COVID-19: Orders and Bylaws impact you as a person with disabilities? Question 12 in ASL

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* 13. What other information you’d like to share about accessing vaccinations and support  during COVID-19 pandemic?   Question 13 in ASL

0 of 13 answered
 

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