Our mission is to work to realize the promise of a community where all people are valued for their unique contributions, are participants to the extent that they desire to be, and are encouraged and assisted in achieving their goals and dreams. Survey

	uninvolved	minimally involved	somewhat involved	very involved	N/A
Competitive employment that supports capabilities?	Competitive employment that supports capabilities? uninvolved	Competitive employment that supports capabilities? minimally involved	Competitive employment that supports capabilities? somewhat involved	Competitive employment that supports capabilities? very involved	Competitive employment that supports capabilities? N/A
Participation in local recreational activities?	Participation in local recreational activities? uninvolved	Participation in local recreational activities? minimally involved	Participation in local recreational activities? somewhat involved	Participation in local recreational activities? very involved	Participation in local recreational activities? N/A
Activities with friends?	Activities with friends? uninvolved	Activities with friends? minimally involved	Activities with friends? somewhat involved	Activities with friends? very involved	Activities with friends? N/A
Local community events?	Local community events? uninvolved	Local community events? minimally involved	Local community events? somewhat involved	Local community events? very involved	Local community events? N/A
Obtaining housing of his/her choosing?	Obtaining housing of his/her choosing? uninvolved	Obtaining housing of his/her choosing? minimally involved	Obtaining housing of his/her choosing? somewhat involved	Obtaining housing of his/her choosing? very involved	Obtaining housing of his/her choosing? N/A
Educational opportunities?	Educational opportunities? uninvolved	Educational opportunities? minimally involved	Educational opportunities? somewhat involved	Educational opportunities? very involved	Educational opportunities? N/A
Health and wellness maintenance?	Health and wellness maintenance? uninvolved	Health and wellness maintenance? minimally involved	Health and wellness maintenance? somewhat involved	Health and wellness maintenance? very involved	Health and wellness maintenance? N/A
Family Supports?	Family Supports? uninvolved	Family Supports? minimally involved	Family Supports? somewhat involved	Family Supports? very involved	Family Supports? N/A
Healthy, meaningful intimate relationships?	Healthy, meaningful intimate relationships? uninvolved	Healthy, meaningful intimate relationships? minimally involved	Healthy, meaningful intimate relationships? somewhat involved	Healthy, meaningful intimate relationships? very involved	Healthy, meaningful intimate relationships? N/A

uninvolved

minimally involved

somewhat involved

very involved

N/A

Competitive employment that supports capabilities?

Competitive employment that supports capabilities? uninvolved

Competitive employment that supports capabilities? minimally involved

Competitive employment that supports capabilities? somewhat involved

Competitive employment that supports capabilities? very involved

Competitive employment that supports capabilities? N/A

Participation in local recreational activities?

Participation in local recreational activities? uninvolved

Participation in local recreational activities? minimally involved

Participation in local recreational activities? somewhat involved

Participation in local recreational activities? very involved

Participation in local recreational activities? N/A

Activities with friends?

Activities with friends? uninvolved

Activities with friends? minimally involved

Activities with friends? somewhat involved

Activities with friends? very involved

Activities with friends? N/A

Local community events?

Local community events? uninvolved

Local community events? minimally involved

Local community events? somewhat involved

Local community events? very involved

Local community events? N/A

Obtaining housing of his/her choosing?

Obtaining housing of his/her choosing? uninvolved

Obtaining housing of his/her choosing? minimally involved

Obtaining housing of his/her choosing? somewhat involved

Obtaining housing of his/her choosing? very involved

Obtaining housing of his/her choosing? N/A

Educational opportunities?

Educational opportunities? uninvolved

Educational opportunities? minimally involved

Educational opportunities? somewhat involved

Educational opportunities? very involved

Educational opportunities? N/A

Health and wellness maintenance?

Health and wellness maintenance? uninvolved

Health and wellness maintenance? minimally involved

Health and wellness maintenance? somewhat involved

Health and wellness maintenance? very involved

Health and wellness maintenance? N/A

Family Supports?

Family Supports? uninvolved

Family Supports? minimally involved

Family Supports? somewhat involved

Family Supports? very involved

Family Supports? N/A

Healthy, meaningful intimate relationships?

Healthy, meaningful intimate relationships? uninvolved

Healthy, meaningful intimate relationships? minimally involved

Healthy, meaningful intimate relationships? somewhat involved

Healthy, meaningful intimate relationships? very involved

Healthy, meaningful intimate relationships? N/A

	no barriers	some barriers	many barriers	N/A
Employment	Employment no barriers	Employment some barriers	Employment many barriers	Employment N/A
Recreation	Recreation no barriers	Recreation some barriers	Recreation many barriers	Recreation N/A
Religious or Spiritual Activities	Religious or Spiritual Activities no barriers	Religious or Spiritual Activities some barriers	Religious or Spiritual Activities many barriers	Religious or Spiritual Activities N/A
Friendships	Friendships no barriers	Friendships some barriers	Friendships many barriers	Friendships N/A
Finances	Finances no barriers	Finances some barriers	Finances many barriers	Finances N/A
Health Insurance	Health Insurance no barriers	Health Insurance some barriers	Health Insurance many barriers	Health Insurance N/A
Transportation	Transportation no barriers	Transportation some barriers	Transportation many barriers	Transportation N/A
Housing	Housing no barriers	Housing some barriers	Housing many barriers	Housing N/A
Safety (home, personal and/or environmental)	Safety (home, personal and/or environmental) no barriers	Safety (home, personal and/or environmental) some barriers	Safety (home, personal and/or environmental) many barriers	Safety (home, personal and/or environmental) N/A
Education	Education no barriers	Education some barriers	Education many barriers	Education N/A
Health/Wellness	Health/Wellness no barriers	Health/Wellness some barriers	Health/Wellness many barriers	Health/Wellness N/A
Self (cognitive or internal conflict or stressors)	Self (cognitive or internal conflict or stressors) no barriers	Self (cognitive or internal conflict or stressors) some barriers	Self (cognitive or internal conflict or stressors) many barriers	Self (cognitive or internal conflict or stressors) N/A
Family	Family no barriers	Family some barriers	Family many barriers	Family N/A
Intimate Relationships	Intimate Relationships no barriers	Intimate Relationships some barriers	Intimate Relationships many barriers	Intimate Relationships N/A
Support Services	Support Services no barriers	Support Services some barriers	Support Services many barriers	Support Services N/A

no barriers

some barriers

many barriers

N/A

Employment

Employment no barriers

Employment some barriers

Employment many barriers

Employment N/A

Recreation

Recreation no barriers

Recreation some barriers

Recreation many barriers

Recreation N/A

Religious or Spiritual Activities

Religious or Spiritual Activities no barriers

Religious or Spiritual Activities some barriers

Religious or Spiritual Activities many barriers

Religious or Spiritual Activities N/A

Friendships

Friendships no barriers

Friendships some barriers

Friendships many barriers

Friendships N/A

Finances

Finances no barriers

Finances some barriers

Finances many barriers

Finances N/A

Health Insurance

Health Insurance no barriers

Health Insurance some barriers

Health Insurance many barriers

Health Insurance N/A

Transportation

Transportation no barriers

Transportation some barriers

Transportation many barriers

Transportation N/A

Housing

Housing no barriers

Housing some barriers

Housing many barriers

Housing N/A

Safety (home, personal and/or environmental)

Safety (home, personal and/or environmental) no barriers

Safety (home, personal and/or environmental) some barriers

Safety (home, personal and/or environmental) many barriers

Safety (home, personal and/or environmental) N/A

Education

Education no barriers

Education some barriers

Education many barriers

Education N/A

Health/Wellness

Health/Wellness no barriers

Health/Wellness some barriers

Health/Wellness many barriers

Health/Wellness N/A

Self (cognitive or internal conflict or stressors)

Self (cognitive or internal conflict or stressors) no barriers

Self (cognitive or internal conflict or stressors) some barriers

Self (cognitive or internal conflict or stressors) many barriers

Self (cognitive or internal conflict or stressors) N/A

Family

Family no barriers

Family some barriers

Family many barriers

Family N/A

Intimate Relationships

Intimate Relationships no barriers

Intimate Relationships some barriers

Intimate Relationships many barriers

Intimate Relationships N/A

Support Services

Support Services no barriers

Support Services some barriers

Support Services many barriers

Support Services N/A

Question Title

* 3. Have you, or the person you care for or work with, received support to increase participation in community life? (for example, an effective job placement program, key supports in school, a welcoming approach of a local congregation, an inclusive recreational program)

Yes

If yes please share with us:

Question Title

* 4. What could support agencies do to help you, or the person you care for or work with, participate more fully in community life?

Question Title

* 5. Do you have an example of an environment that is successful and encouraging for you or the person you support?

Yes

If you answer yes please describe what makes this organization, environment or location successful.

Question Title

* 6. What do you think is the greatest accessibility challenge in our community?

Question Title

* 7. Do you, or does the person you care for or work with, have accessible housing and transportation options?

Yes

Please explain:

Question Title

* 8. If you are willing to participate in a follow up telephone interview or web-based focus group to explore these topics further, please share your name and phone number below.

Our mission is to work to realize the promise of a community where all people are valued for their unique contributions, are participants to the extent that they desire to be, and are encouraged and assisted in achieving their goals and dreams.

think differently

Question Title

* 1. In general, how would you describe the degree to which you or the person you care for or work with, is actively involved in everyday community activities? How involved is the person in:

Question Title

* 2. Do you, or the person you care for, encounter barriers in the following areas?

Question Title

* 3. Have you, or the person you care for or work with, received support to increase participation in community life? (for example, an effective job placement program, key supports in school, a welcoming approach of a local congregation, an inclusive recreational program)

Question Title

* 4. What could support agencies do to help you, or the person you care for or work with, participate more fully in community life?

Question Title

* 5. Do you have an example of an environment that is successful and encouraging for you or the person you support?

Question Title

* 6. What do you think is the greatest accessibility challenge in our community?

Question Title

* 7. Do you, or does the person you care for or work with, have accessible housing and transportation options?

Question Title

* 8. If you are willing to participate in a follow up telephone interview or web-based focus group to explore these topics further, please share your name and phone number below.