Dear participant,

In every state and territory, programs authorized by the Developmental Disabilities Assistance and Bill of Rights Act (DD Act) empower individuals with developmental disabilities and their families to help shape policies that impact them. Different programs have different rules on what they can do and how they can spend their money.
 
Developmental Disability Councils design Five Year State Plans to provide education and fund projects to show new ways that people with disabilities can be fully included in their community. The DD Act allows Councils to choose Federal “Areas of Emphasis” to focus on based on gaps in service identified in our State. The information from this short survey will help us determine those gaps and develop the goals and activities for our next State Plan.
 
While you're answering these questions, be thinking about how these areas effect your life and the lives of others with developmental disabilities. Your input is very important to us and all answers are anonymous.
If you have any questions, please contact Catherine Nielsen at cmnielsen@dhhs.nv.gov. 

We ask that you also consider joining us for one of our town hall meetings across the state. For more information on town halls, please visit: https://www.nevadaddcouncil.org/town-halls/

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* 1. I am....(select all that apply)

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* 2. I am....(choose one)

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* 3. What sex were you assigned at birth, on your original birth certificate? (Please note, this question is required by our Federal funders.)

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* 4. What is your current gender? (choose one) (Please note, this question is required by our Federal funders.)

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* 5. Which of the following best represents how you think of yourself? [Select ONE]: (Please note, this question is required by our Federal funders.)

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* 6. What area of the State of Nevada do you live in?

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* 7. What is your zip code?

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* 8. How long have you lived in Nevada?

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* 9. Are you a member of any board, Council, or agency that provides input or information to the disability community?

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* 10. If yes, please consider providing us with information on the name of your Board, Council, or agency:

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* 11. Check three (3) areas that are most important to you:

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* 12. What are the biggest barriers to getting the things you chose above?

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* 13. Please tell us why you chose the barriers above. For example, "I can't get to work because there's no transportation in my area that works for me." or "I can't get the information I need because it's not accessible for my screen reader, they don't have closed captioning or an interpreter."

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* 14. How can the Council help advocates become better leaders in their community?

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* 15. The following are objectives from our current 5 Year State Plan. Are there areas of effort you’d like to see continued? Please check the box next to the activities you’d like to see continued:

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* 16. Is there anything else you would like to share with us or like us to consider when creating our new 5 Year State Plan?

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