NWGA Center for Independent Living

This is the community survey for NWGA CIL's 2020 - 2022 strategic plan. Please be assured that your survey answers will remain completely confidential.

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* 1. What county do you live in?

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* 2. Please check all that apply. I am:

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* 3. Are you affiliated with:

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* 4. For the people we serve, what types of disabilities do you think they have? Check all that apply:

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* 5. What age range of people do you think we serve? Check all that apply:

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* 6. What services, programs and classes do you think we provide?

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* 7. What feedback have you heard about NWGA CIL from others in the community?

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* 8. Do you feel you are adequately informed about NWGA CIL and our services, programs, classes, special events, etc?

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* 9. What media outlets do you access for information? Check all that apply:

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* 10. What do we do well as an independent living center?

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* 11. What can we do better?

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* 12. What services, programs and classes would you like to see us provide?

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* 13. What disability issues in our community do you think need to be addressed?

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* 14. Do you have any additional comments?

If you are a donor, please answer questions 15 - 17.

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* 15. (Donors Only) Why did you decide to become a supporter of NWGA CIL?

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* 16. (Donors Only) Do you feel acknowledged and appreciated for your support?

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* 17. (Donors Only) What can we do to ensure your continued support of NWGA CIL?

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* 18. OPTIONAL: Would you like for us to contact you?

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