DEMOGRAPHICS

This section enables us to better understand and focus on the specific needs of differing populations completing the survey.

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* 1. Please describe yourself (check all that apply)

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* 2. How old is the Jewish Adult with disabilities?

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* 3. Enter your 5 digit zip code below

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* 4. Gender

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* 5. In what type of housing does the adult with disabilities live?

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* 6. In the last year, in what programs/services in the Jewish community did the adult with disabilities participate? (check all that apply)

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* 7. In the last year, in what programs/services OUTSIDE the Jewish community did the adult with disabilities participate? (check all that apply). Please list agency name or program/service name>

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