City of Port Orange ADA Transition Plan Public Access Survey

UNDER FLORIDA LAW, THIS SURVEY AND ALL RESPONSES PROVIDED BY YOU ARE PUBLIC RECORDS AND MAY BE RELEASED IN RESPONSE TO A PUBLIC RECORDS REQUEST. IF YOU DO NOT WANT THE INFORMATION YOU PROVIDE TO BE RELEASED TO THE PUBLIC IN RESPONSE TO A PUBLIC RECORDS REQUEST, PLEASE DO NOT PROVIDE IT.

This survey is designed to help the City of Port Orange 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 Port Orange's 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 (Please remember this document is a public record and any response may be released to the public in response to a records request) :

3.Which City buildings do you visit most often?

Please identify other buildings below.

5.Have you, a family member or a loved one experienced physical barriers or constraints on a pedestrian path or in a facility you currently use or would like to use?

Yes

No

Please identify location or locations below.

6.Have you, a family member or a loved one encountered inaccessible sections or poor conditions related to sidewalks?

Yes

No

Please identify location or locations below.

7.Have you, a family member or a loved one encountered locations where curb ramps are missing or inaccessible?

Yes

No

Please identify location or locations below.

8.Have you, a family member or a loved one encountered inaccessible sections or poor conditions related to Votran transit stops within the City of Port Orange?

Yes

No

Not applicable (have not used transit)

Please identify location or locations below.

9.Do you, a family member or a loved one have difficulties accessing public schools within Port Orange due to inaccessibility of sidewalks or curb ramps in front of the school?

Yes

No - Not Applicable

No difficulties accessing public schools

Please identify location or locations below.

10.Have you, a family member or a loved one 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

Please identify location or locations below.

11.Are there any City programs, services, or activities that you, a family member or a loved one would like to participate in or utilize but cannot due to accessibility challenges?

Yes

No

Please identify the specific City program, service, or activity and describe challenges below. (Please remember this document is a public record and any response may be released to the public in response to a records request) :

12.Have you, a family member or a loved one 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

Please identify location or locations below.

13.Have you, a family member or a loved one 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

Please identify location or locations below.

14.Have you, a family member or a loved one 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

Please identify location or locations below.

15.Do you have any general comments or items regarding accessibility that you would like us to be aware of? (Please remember this document is a public record and may be released to the public in response to a records request.)

Yes, enter comments below

No

Comments:

16.This question is optional and may be skipped. Answering this question is at the sole discretion of the respondent.
Information about the ADA Transition Plan may be obtained by contacting the ADA Coordinator, Heather Carrizales, at (386) 506-5561. 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. Remember this information is a public record and may be released to the public in response to a records request. Thank you for your input!

Name

Address

City / Town

State

Zip / Postal Code

Email Address

Phone Number