DRM would like your help to decide which issues we should focus on for the next year.  Thank you in advance for your help.

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* 1. I am (check all that apply)

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* 2. In which county do you live?

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* 3. OPTIONAL:  If you would like to receive more information about DRM, please give us your contact information.

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* 4. What are the 3 most important issues for DRM to work on during the next year?

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* 5. What is the greatest disability-related challenge or barrier you face?

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* 6. Do you have any feedback about how we are doing?

  yes no don't know
Is our website easy to use?
Is the office easy to access?
Is our staff knowledgeable?
Is our intake process convenient?

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* 7. Do you have any other comments about our work, or want to recommend any new issues we should work on?

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* 8. Where is DRM's help most needed for people with disabilities to have access to their communities?

  not needed somewhat needed most needed no opinion
Affordable housing
Accessible housing
Reasonable accommodations in housing
Public transportation
Voting
Recreation
Education
Community services/supports
Employment
Unnecessary guardianship
Income support / public benefits
Services to communities with Limited English Proficiency (LEP)

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* 9. Where is DRM's help most needed for people with disabilities regarding health care?

  not needed somewhat needed most needed no opinion
Getting Medicaid services such as in-home nursing, in-home aides, non-emergency medical transportation, etc.
Education about Medicaid services
Help with other Medicaid system issues (please explain below)
Getting assistive technology, including durable medical equipment

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* 10. Where is DRM's help most needed for people with developmental disabilities?

  not needed somewhat needed most needed no opinion
Training and support for self-advocates
Quality health care and other services in the community
Accessing meaningful activities, including employment and recreation
Appealing denial of service decisions
Helping people move out of institutions
Keeping people free from abuse, neglect and exploitation
Getting communication assistance and/or assistive technology

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* 11. Where is DRM’s help needed most for youth with mental health issues?

  not needed somewhat needed most needed no opinion
Quality services in the community
Moving the mental health and juvenile justice systems to community based treatment services
Educating youth in psychiatric hospitals and treatment facilities about their rights
Defending youth rights in psychiatric hospitals and other treatment facilities
Defending youth rights in juvenile justice facilities
Ensuring that children do not remain unnecessarily in hospitals or facilities
Keeping people free from abuse, neglect and exploitation

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* 12. Where is DRM’s help needed most for adults with mental health issues?

  not needed somewhat needed most needed no opinion
Training and support for self-advocates
Quality of existing services in the community
Expanding community services
Expanding housing options
Addressing problems in emergency rooms
Helping people move out of institutions
Defending the rights of people in institutions
Defending the rights of people in community mental health programs
Mental health services in the criminal justice system
Keeping people free from abuse, neglect and exploitation

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* 13. Where is DRM’s help needed most regarding voting rights for people with disabilities?

  not needed somewhat needed most needed no opinion
Accessible polling sites and machines
Accessible voting processes (such as vote by mail)
Assistance in voting
Training election judges on disability issues
Voter registration, outreach and training

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* 14. Where is DRM’s help needed most for people with traumatic brain injury (TBI)?

  not needed somewhat needed most needed no opinion
Housing issues
Specialized healthcare, mental health, and other treatment services
Other community services and supports (please specify below)
Employment issues
Special education for children
Other services for children with TBI
Services for veterans with TBI

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* 15. Where is DRM’s help needed most regarding special education issues for children?

  not needed somewhat needed most needed no opinion
Decreasing suspension and expulsion from school
Preventing restraint and seclusion
Education in the least restrictive environment
Appropriate transition planning
Assistive technology
Extended school year services
School health, mental health or nursing services
Graduation/ high school assessment issues
Helping individual students get appropriate special education services

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* 16. Where is DRM’s help needed most so people with disabilities have the financial resources to live independently?

  not needed somewhat needed most needed no opinion
Services for Social Security recipients who are trying to go back to work
Helping Social Security recipients keep their Medicaid coverage when returning to work
Accommodations in the workplace
Assistive technology in the workplace
Addressing overpayment of Social Security benefits

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* 17. Where is DRM’s help needed most to ensure human rights in institutions (such as nursing facilities, state residential centers, psychiatric hospitals, and jails)?

  not needed somewhat needed most needed no opinion
Appropriate discharge planning
Getting desired and appropriate treatment and care in institutions
Preventing restraint & seclusion
Decreasing the use of forced medication
Decreasing the use of state hospitalization
Decreasing the use of court procedures to restrict liberties
Information and training about client rights in institutions
Conducting investigations of abuse & neglect
Protecting the rights of people with disabilities in jails and prisons
Limiting over-policing and criminalization of people with disabilities
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