2016 Self-Advocate and Family Member Survey

The Wisconsin Board for People with Developmental Disabilities (BPDD) would like you to please take a few moments of your time to complete the 2016 Self-Advocacy Survey. This survey is for people with disabilities and family members who have participated in a BPDD project/activity (e.g., meeting, conference, community conversation) during the past year. Your feedback is very important to us! To thank you for completing the survey by Friday September 16th,, your name will be entered into a pool for a chance to receive a $50.00 gift card to Amazon!

If you have already completed this survey in the past year, please do not complete it again.

As a result of participating in a WI-BPDD project or activity during the past year...........

1.I have:

Made more choices about my supports

Gotten more involved in my community

Increased my knowledge of resources to help me self-direct

Participated more in self-direction

Increased the number of people other than paid professionals, that support me

2.I have increased my participation in:

Paid community employment

Looking for a paid community job

Efforts to increase community employment for people with disabilities

3.I feel more confident that:

I can work in paid community employment

I know what resources I can use to help me get a job in the community

When I work in the community the business I work for is better

4.I have increased my self-advocacy

Yes

5.I am better able to say what I want

Yes

6.I joined an advocacy group

Yes

7.I had been participating in an advocacy effort prior to participating in a board activity

Yes

8.I am now participating in a group advocacy effort

Yes

9.I have increased my participation in a group advocacy effort

Yes

10.I am now on a policy board, advisory board or governing body

Yes

11.I am now in a leadership position for an organization

Yes

12.I am more effective in my role serving on a board

Yes

13.I am being paid for my role serving on a board

Yes

14.Please tell us whether you are:

An individual with a disability

Family member of an individual with a disability

17.Were you satisfied with the BPDD project/activity that you participated in during the past year?

Yes

18.Is your life better as a result of participating in a BPDD project/activity during the past year?

Yes

19.Please share a story of how participating in WI-BPDD activities has made your life better.

20.Please provide the following information (optional):

Name:

Address:

City/Town:

ZIP:

Email Address:

Phone Number: