Ohav Shalom Inclusion Survey Ohav Shalom Inclusion Survey Question Title * 1. Do you or an adult family member or child identify as a person with a disability? Yes No Question Title * 2. If you are filling this out for a family, how many children and/or adults do you represent? Question Title * 3. Which of the following have you or a family member used at Ohav Shalom? Large-print siddur Assisted listening technology Educational supports in the religious school Educational supports in adult education Mobility Access Assistance NA Question Title * 4. Does Ohav Shalom currently foster an atmosphere where you feel comfortable sharing information about your own or a family member’s needs or asking for accommodations? If not, why? Yes No Comments Question Title * 5. Have you or a family member felt comfortable asking for accommodations or assistance (when needed) from Ohav Shalom congregants and/or staff while you participated in social or religious functions at the synagogue? Staff- Yes Staff- No Congregants- Yes Congregants- No Question Title * 6. If you haven't been comfortable asking for accommodations or disclosing needs, what can Ohav Shalom do to make you more comfortable? Please elaborate. Question Title * 7. Religious services would be more accessible and meaningful to me and/or a family member if . . . . (check all that apply) I could hear the speakers on the bimah better. The assisted hearing devices were reliable. American Sign Language interpretive services were available. Transcription or closed captioning of the rabbis’ d’varim (sermons) was available. I had easy access to a large-print prayer book and/or Humash. The lighting was better. There was accessible seating reserved for people with mobility concerns. There was a quiet space for people who are noise-sensitive I could get to the bimah or ark more easily. I had help with transportation to the synagogue from my home. Child care inclusive of children with disabilities on High Holidays and Shabbat Pairing with a supportive community member There was a fragrance sensitivity free zone at synagogue events There was a safe space for children with emotional/behavioral issues Actions on the bimmah was described while in process Films shown were closed captioned and/or audio described Weekly handouts, text of sermons and other written materials were available on the Website Other (please specify) Question Title * 8. Events in the social hall (for example, Kiddush luncheon, the community Seder, or congregational meetings) would be more accessible to me and/or a family member if . . . . (check all that apply) American Sign Language interpretation or transcription services were available. The sound system was better. There was seating set aside for people with mobility concerns. I knew whom to contact to find out if the food contained ingredients to which I am allergic or have a sensitivity. I had assistance navigating the buffet line. There was a safe space for children with emotional/behavioral issues Other (please specify) Question Title * 9. If you are a professional who works with or has worked with children and/or adults with disabilities, please specify if you are a physician, teacher, therapist, counselor or service provider, and if you would like to lend your services to the congregation on occasion. Question Title * 10. If you have difficulty participating in other synagogue activities, please let us know why. If you would be open to a confidential conversation on this topic, be sure to provide contact information at the end of the survey. Done