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PADDC Satisfaction Survey - SDMPA

Supported Decision Making Pennsylvania

Please check categories below that describe identify yourself.
Note: This data is being requested by our federal funder.  Please provide the information for their records.  This will not impact services or trainings provided.
1.Project Activity/Event
2.Date
Date
3.Please identify who you are:
4.Please check all categories below that describe how you identify yourself.
5.What is your current gender?
6.Do you consider yourself to be transgender?
7.Which of the following best represents how you think of yourself?
8.Which best describes the area you live in?
9.Which county do you live in?
10.I (or my family member) can speak up for myself better because of what we did today.
11.I (or my family member) can say what I want better, or what is important to me because of what we did today?
12.I (or my family member) take part in advocacy events.
13.I (or my family member) take part in cross disability coalitions, policy boards, advisory boards,decision-making groups: or I am the leader of a group. 
14.I (or my family member) am satisfied with what we did today.