LGBTQ+ Disability Program Survey

Bryant Mehay, MA, CTRS

Coordinator of Elder and Disability Services

Note: This survey is supported by the screen readers : JAWS, NVDA, VoiceOver, and TalkBack

The Center on Colfax is starting a program focusing on our 21+ LGBTQ+ family that have disabilities. This program will be led by the Coordinator of Elder and Disability Services, Bryant Mehay, MA, CTRS (He/They). Because a program of this nature has not previously existed at The Center, we want to hear from you, our community, what sort of activities, resources, and programming you want to see. As there are many different forms disability can take, it is important that we are informed on the accommodations you require to engage with The Center free from barriers. The purpose of this survey is to provide us with information so we can better suit our services to the community’s needs. The information provided in the survey will be kept 100% anonymous. You are not required to fill out any of the questions to complete the survey, all information is voluntary. If you or someone you know could benefit from this programming, please fill out the survey or send this survey along to them. The programming will be for our community members that are 21+. For more information or for any questions please email bmehay@lgbtqcolorado.org or call 303.951.5228.

Thank you!

Question Title

* 1. What is your email address?

Question Title

* 2. When are you more likely and available to attend weekday programming hosted by The Center? (Select all the apply and include "Morning" "Afternoon" or "Evening" in the textbox.)

Monday

Tuesday

Wednesday

Thursday

Friday

Question Title

* 3. Which activity format are you more likely to attend? (Select all that apply)

In-person

Hybrid

Virtual

Question Title

* 4. What types of disability specific programming would you like to see from The Center? (Select all that apply)

Arts

Social Opportunities

Physical Recreation

Sexual Health

Financial Services

Employment

Other (please specify)

Question Title

* 5. Are there any organizations serving people with disabilities you think would be a valuable resource or partner to this program

Question Title

* 6. If you were to attend activities at The Center, what accommodations or resources would you need? Please explain, as necessary.

Question Title

* 7. How would you classify your disability? (Note: This question helps us to better understand the adaptations necessary for specific programming.)

Mobility

Vision

Emotional

Auditory

Neurological

Social

Cognitive

Psychological

Please provide as much information as you are comfortable sharing.

Question Title

* 8. How difficult would it be for you to travel to The Center?

Very Difficult

Difficult

Moderate

Easy

Very Easy

LGBTQ+ Disability Program Survey

Question Title

* 1. What is your email address?

Question Title

* 2. When are you more likely and available to attend weekday programming hosted by The Center? (Select all the apply and include "Morning" "Afternoon" or "Evening" in the textbox.)

Question Title

* 3. Which activity format are you more likely to attend? (Select all that apply)

Question Title

* 4. What types of disability specific programming would you like to see from The Center? (Select all that apply)

Question Title

* 5. Are there any organizations serving people with disabilities you think would be a valuable resource or partner to this program

Question Title

* 6. If you were to attend activities at The Center, what accommodations or resources would you need? Please explain, as necessary.

Question Title

* 7. How would you classify your disability? (Note: This question helps us to better understand the adaptations necessary for specific programming.)

Question Title

* 8. How difficult would it be for you to travel to The Center?

Question Title

* 9. This is additional space for any feedback, comments, or ideas.