Sign up for our 2021 Consumer Survey

Please fill out the information below if you are either a person with a developmental disability or a family member who wants to be included in our survey. A surveyor from the Nisonger Center at Ohio State will be contacting you at a later date to conduct the Ohio Developmental Disabilities Council Consumer Satisfaction Survey. Do not respond if you do not meet these qualifications. Please respond by 5 PM on July 2, 2021.

Question Title

* 1. Please choose from the following options: I am a:

Person with a developmental disability

Family member of a person with a developmental disability

Question Title

* 2. Please enter the information indicated below

Name

Email Address

Phone Number