Accessibility Feedback Form

Ontario Shores Centre for Mental Health Sciences (Ontario Shores) is committed to improving accessibility and to reducing the stigma associated with all disabilities. In support of this, Ontario Shores seeks ongoing input to assist in the identification, removal and prevention of barriers faced by people with disabilities. Ontario Shores is seeking feedback from patients, staff, community partners and the public about the accessibility of Ontario Shores' programs, services and facilities.

Please take a few moments to answer the following questions:

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* 1. I am a:

Patient

Staff

Other

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* 2. Have you, or someone you know, experienced difficulties relating to accessibility while at any of our sites or using any of our services or programs?

Yes

Not sure

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* 3. If yes, please select all the barriers that apply:

Physical - Potted plants obstructing pathways

Architectural - Nursing Station counter not at eye level for wheelchairs

Communication/Information - Patient records only available in print, not accessible to those with visual disabilities

Technological - Hospital website is not accessible to people with visual limitations, no sound options or text options - not compatible with screen reading software

Attitudinal - Lack of knowledge, Bias - not talking to the person with the disability, using words like handicapped

Policy/Practice - Lack of an Accommodation Policy - unclear who does what to assist staff and clients with disabilities, also unknown is the parameter of that assistance

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* 4. If you checked one or more above, please describe the situation faced at the time of the visit.

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* 5. Do you have any recommendations for preventing this in the future?

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* 6. What type of disability do you (or the person in the situation described) have? (Optional)

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* 7. May we contact you about your feedback?

Yes

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* 8. If yes, please provide your preferred contact information.

The information gathered in this form will be considered in the development of Ontario Shores' annual Accessibility Plan. The information will also be used in continuing improvement of the programs, facilities and services offered. Thank you for your comments. Your time and participation in this process is greatly appreciated.