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INSILC Input Form
INSILC collects input from people with disabilities across Indiana to shape statewide efforts that promote people's ability to live independently and fully participate in their communities.
1.
Are you a person with a disability?
Yes
No
Prefer Not To Answer
2.
In which county do you live?
Adams
Allen
Bartholomew
Benton
Blackford
Boone
Brown
Carroll
Cass
Clark
Clay
Clinton
Crawford
Daviess
Dearborn
Decatur
DeKalb
Delaware
Dubois
Elkhart
Fayette
Floyd
Fountain
Franklin
Fulton
Gibson
Grant
Greene
Hamilton
Hancock
Harrison
Hendricks
Henry
Howard
Huntington
Jackson
Jasper
Jay
Jefferson
Jennings
Johnson
Knox
Kosciusko
LaGrange
Lake
LaPorte
Lawrence
Madison
Marion
Marshall
Martin
Miami
Monroe
Montgomery
Morgan
Newton
Noble
Ohio
Orange
Owen
Parke
Perry
Pike
Porter
Posey
Pulaski
Putnam
Randolph
Ripley
Rush
St. Joseph
Scott
Shelby
Spencer
Starke
Steuben
Sullivan
Switzerland
Tippecanoe
Tipton
Union
Vanderburgh
Vermillion
Vigo
Wabash
Warren
Warrick
Washington
Wayne
Wells
White
Whitley
3.
Do you identify as any of the following? (Select all that apply.)
Racial/ethnic minority
Rural Resident
Veteran
Youth
4.
Are your needs being met?
5.
Do you have access to the services you need?
6.
Are there resources you wish were available?
7.
What challenges do you face?
8.
Is there anything else that you would like to tell us?
Thank you for leaving your feedback!
You can see all of the responses we have received at
insilc.org/feedback/.