Consumer Input Survey 2022

Consumer Input Survey for the State Plan for Independent Living 2022

The New Jersey Statewide Independent Living Council (SILC) is appointed by the Governor and charged with developing and monitoring the State Plan for Independent Living (SPIL).

The State Plan for Independent Living (SPIL) is a document that outlines the three-year plan to support and enhance New Jersey’s Independent Living Services and the network of Centers for Independent Living. We are in the process of revising the SPIL. As part of this process, we are asking people with disabilities for their input as to what topics are important to gain or maintain their independence in the community.

The information gathered from this survey will provide guidance in the development of the SPIL and will help to guide Independent Living Services to meet the needs of people with disabilities.

Thank you for your time and assistance.

Question Title

* 1. Please check off the three areas most important to your ability to be independent :

Assistive Technology/Information Technology (Any item, piece of equipment or technology that is used to increase, maintain or improve functional capabilities

Community Involvement (Participating in community life, including access to public buildings and sites (government buildings, schools, retail businesses, train and bus stations), voting, recreation activities, etc.)

Emergency Preparedness (Assuring that needs of people with disabilities are included in the planning, response, recovery, and mitigation phases of disasters or emergencies conducted by local, County, or state governments)

Employment (Paid, competitive jobs in the community at the minimum wage or higher)

Education (Access to a free and appropriate public education in the least restrictive environment as well as access to post-secondary educational opportunities)

Institutional Prevention (Getting out of or avoiding nursing home or other type of non-community-based residence)

Housing (Accessible and/or affordable community-based living arrangements)

Transportation (Availability of truly accessible public transit such as bus, train, plane, taxi, or the availability of funding for use of a private vehicle through a personal attendant/driver or a service such as Uber/Lyft)

Medical Services (Accessible medical sites including staff to assist with special needs such as mobility, equal access to Assessment and Treatment, availability of insurance or other medical care funding to allow A & T)

Independent Living Skills (Skills that enhances one's ability to thrive in one's home and community independently. Examples include living and financial literacy skills; skills to seek information, to make plans and decisions, and to set goals)

Self-Advocacy Skills (Skills which expand the knowledge of one's rights and responsibilities in order to enhance one's communication skills to advocate for oneself and others in the community, including the workplace)

Other (please specify)

Question Title

* 2. Please check off the one area most important to your ability to be independent:

Assistive Technology/Information Technology (Any item, piece of equipment or technology that is used to increase, maintain or improve functional capabilities

Employment (Paid, competitive jobs in the community at the minimum wage or higher)

Education (Access to a free and appropriate public education in the least restrictive environment as well as access to post-secondary educational opportunities)

Institutional Prevention (Getting out of or avoiding nursing home or other types of non-community-based residence)

Housing (Accessible and/or affordable community-based living arrangements)

Transportation (Availability of truly accessible public transit such asbus, train, plane, taxi or the the availability of funding for use of a private vehicle through a personal attendant/driver or a service such as Uber/Lyft)

Independent Living Skills (Skills that enhance one's ability to thrive independently in one's home and community. Examples include living and financial literacy skills; skills to seek information, to make plans and decisions, and to set goals)

Other (please specify)

Question Title

* 3. How important to you is Assistive Technology/Information Technology in your life? (Any item, piece of equipment or product system that is used to increase, maintain or improve functional capabilities)

Extremely important

Very important

Somewhat important

Not so important

Not at all important

Question Title

* 4. How important is Community Involvement (Participating in community life, including access to public buildings and sites (government buildings, schools, retail businesses, train and bus stations), voting, recreation activities, etc. )

Extremely important

Very important

Somewhat important

Not so important

Not at all important

Question Title

* 5. How important is Emergency Preparedness in your life? (Assuring freedom from harm or injury via assistance with preparing for/preventing dangerous situations and receiving help in a disaster situation including appropriate shelter environments)

Extremely important

Very important

Somewhat important

Not so important

Not at all important

Question Title

* 6. How important is Employment in your life? (Paid, competitive jobs in the community at the minimum wage or higher)

Extremely important

Very important

Somewhat important

Not so important

Not at all important

Question Title

* 7. How important is Education in your life? (Access to a free and appropriate public education in the least restrictive environment as well as access to post-secondary educational opportunities)

Extremely important

Very important

Somewhat important

Not so important

Not at all important

Question Title

* 8. How important is Institutional Prevention in your life? (Getting out of/avoiding nursing home or other types of non-community-based residence)

Extremely important

Very important

Somewhat important

Not so important

Not at all important

Question Title

* 9. How important is Institutional Prevention (Getting out of/avoiding nursing homes or other types of non-community-based residence)

Extremely important

Very important

Somewhat important

Not so important

Not at all important

Question Title

* 10. How important is Housing in your life? (Accessible and/or affordable community-based living arrangements)

Extremely important

Very important

Somewhat important

Not so important

Not at all important

Question Title

* 11. How important are Medical Services in your life? (Accessible medical sites including staff to assist with special needs such as mobility, equal access to Assessment and Treatment, availability of insurance or other medical care funding to allow A & T)

Extremely important

Very important

Somewhat important

Not so important

Not at all important

Question Title

* 12. How Important are Independent Living Skills in your life? (Skills that enhance one's ability to thrive independently in one's home and community. Examples include living and financial literacy skills; skills to seek information, to make plans and decisions, and to set goals)

Extremely important

Very important

Somewhat important

Not so important

Not at all important

Question Title

* 13. How important are Self-Advocacy Skills in your life? (Skills that expand the knowledge of one's rights and responsibilities in order to enhance one's communication skills to advocate for oneself and others in the community, including the workplace)

Extremely important

Very important

Somewhat important

Not so important

Not at all important

Question Title

* 14. ______ Other Services (please list below)

Question Title

* 15. Are you familiar with a Center for Independent Living?

Yes

Question Title

* 16. What County do You Live in?

Question Title

* 17. What is your age?

18 to 24

25 to 34

35 to 44

45 to 54

55 to 64

65 to 74

75 or older

Question Title

* 18. What is your gender?

Male

Female

Prefer Not to Say

Question Title

* 19. In what type of community do you live?

Suburban community

City or urban community

Rural community

Other (please specify)

Question Title

* 20. Do you have a disability?

Yes

Question Title

* 21. If No, are you related to someone with a disability?

Yes