This brief (5-10 minute) survey is being conducted by Disabled Sports USA.  The purpose of this survey is to evaluate the effectiveness of adaptive sports programs and by using aggregate data, to help inform Americans about why sport and a healthy lifestyle is beneficial for people with disabilities.

The survey should be ideally completed by a participant (in adaptive sports programs) with a disability; or a parent, legal guardian or aide where appropriate. 

Your participation in this survey is entirely voluntary. You may choose not to participate. If you decide to participate in this survey, you may withdraw at any time. Your future participation in adaptive sports programs will not be impacted should you choose not to participate in the survey.

Your responses will be confidential, recording your name is optional and we do not collect your IP address.  All data is stored in a password protected electronic format. To help protect your confidentiality, individual data or responses are never shared. The results of this survey are to measure the impact of adaptive sports programs and only employees of Disabled Sports USA have access to responses.

If you have any questions about the survey, please contact jray@dsusa.org. 

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* 1. Please provide us with the following information

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* 2. Do you qualify or currently receive assistance from one or more of the programs: Medicaid, Unemployment, Social Security Disability Benefits, Supplemental Nutrition Assistance Program, Temporary Assistance for Needy Families, Free School Lunch Program, Aid for Dependent Children, Foster Care or other similar state or federal financial assistance program.

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33% of survey complete.

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