City of White House ADA Transition Plan Public Access Survey

This survey is designed to help the City of White House locate areas of most significant concern to you, our public, and help us provide better access throughout our community.

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* 1. How would you rate the overall accessibility of the City of White House's facilities and programs?

Poor

Fair

Good

Very Good

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* 2. Do you believe the City is accepting/accommodating of persons with disabilities?

Yes

Please explain.

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* 3. Have you experienced physical barriers or constraints on a pedestrian path or in a facility you currently use or would like to use?

Yes

A family member or loved one has

Please identify location or locations below.

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* 4. Have you encountered inaccessible sections or poor conditions related to sidewalks and/or curb ramps?

Yes

A family member of loved one has

Please identify location or locations below.

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* 5. Have you 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

A family member or loved one has

Please identify location or locations below.

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* 6. Are there any City programs, services, or activities that you would like to participate in or utilize but cannot due to accessibility challenges?

Yes

A family member or loved one would

Please identify the specific City program, service, or activity and describe challenges below.

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* 7. Have you encountered any physical barriers and/or communication barriers within a City building or park which prevented you from utilizing or participating in a program, service, or activity?

Yes

A family member or loved one has

Please identify location or locations below.

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* 8. Do you have any general comments or items regarding accessibility that you would like us to be aware of?

Yes, enter comments below

Comments:

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* 9. Do you have a disability? (Optional)

Yes, enter details below

Please identify the type(s) of disabilities.

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* 10. Information about the ADA Transition Plan will be provided on our website, https://www.cityofwhitehouse.com, or may be obtained by contacting Amanda Burns, ADA Coordinator at 615-672-4350, ext. 2108 or via email at aburns@cityofwhitehouse.com. 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. Any information shared will remain confidential and will not be posted, shared, or otherwise made available to anyone outside the City of White House's ADA Transition Plan team. Only comment and question summaries will be documented in the ADA Transition Plan. Thank you for your input!

Name

Address

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number