*1.What best describes you?(Required.)

Individual served

Parent or guardian of an individual

Provider

Community Member

Other

*2.In three words of your own, how would you best describe Richland Newhope (Richland County Board of DD)?(Required.)

*3.How important is Richland Newhope (Richland County Board of DD) to you?(Required.)

Extremely important

Very important

Somewhat important

Not so important

Not at all important

*4.If you were given the opportunity to improve something about Richland Newhope (Richland County Board of DD), what would you improve?(Required.)

*5.Specifically, what is your overall opinion of Richland Newhope (Richland County Board of DD)?(Required.)

Very positive

Positive

Neutral

Negative

Very negative

6.How would you rate Richland Newhope’s (Richland County’s Board of DD’s) communication with members of the greater community?

Very good

Good

Neutral

Poor

Very Poor

N/A

7.How do you currently receive information regarding Richland Newhope (Richland County Board of DD)?
Please select ALL that apply:

Website

Facebook

Email

Phone – Personal Calls

Other (please specify)

8.How would you like to receive information in the future regarding Richland Newhope (Richland County Board of DD)?

9.Into which age bracket do you fall?

18-24

25-34

35-44

45-54

55-64

65 or older

Prefer not to answer

10.In what Richland County Community do you live? Please provide your zip code:

4481344822448274486244843448644486544875448784490144902449034490444905449064490744999

11.Please provide Zip code if yours is not represented above.