Disability Community Advocacy Priorities

1. About You

The Ohio SILC is working to continue to promoting independent living and advance inclusion for individuals with disabilities.

We would like to gain your thoughts and opinions on advocacy priorities that can be considered by our network for future work.

Question Title

* 1. Please identify how you are representing yourself in answering the survey (Select all that apply)

As an individual with a disability

As a parent/ friend/ relative

As a service provider

As a representative of an organization

As a policy maker

As a member of the community

Other (please specify)

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* 2. What is your age?

Under 18

18-30

31-45

46-64

65+

Prefer not to answer

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* 3. What is your race or ethnicity?

Asian

Black or African American

Hispanic or Latino

Middle Eastern or North African

Multiracial or Multiethnic

Native American or Alaska Native

Native Hawaiian or other Pacific Islander

White

Prefer not to answer

Another race or ethnicity, please describe below

Self-describe below:

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* 4. What is your gender?

Female

Male

Prefer not to answer

Other (specify)

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* 5. Are you an individual with a disability?

Yes

Prefer not to answer