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* 1. Do you or someone in your household have a disability?

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* 2. Do you have more than one disability?

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* 3. Do you believe Hingham is inclusive toward people with disabilities? If Yes, why? If no, why not?

If you or a member of your household have a disability, can you please rank your ease of accessibility in respect to the following categories:

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* 4. Public Buildings ( 1 poor, 2 average, 3 good, 4 excellent) Can you provide details?

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* 5. Shopping areas ( 1 poor, 2 average, 3 good, 4 excellent) Can you provide details?

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* 6. Recreation areas ( 1 poor, 2 average, 3 good, 4 excellent) Can you provide details?

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* 7. Public Bathrooms ( 1 poor, 2 average, 3 good, 4 excellent) Can you provide details?

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* 8. Waterfront ( 1 poor, 2 average, 3 good, 4 excellent) Can you provide details?

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* 9. Community Events such as July 4th, Taste of Hingham, Town Meeting ( 1 poor, 2 average, 3 good, 4 excellent) Can you provide details?

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* 10. Town Website ( 1 poor, 2 average, 3 good, 4 excellent) Can you provide details?

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* 11. Transportation ( 1 poor, 2 average, 3 good, 4 excellent) Can you provide details?

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* 12. What do you feel is the most important issue facing the town of Hingham regarding the advancement of people with disabilities?

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* 13. What type of information/ resources would be most helpful for you in respect to navigating your disability?

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* 14. Do you, or someone in your household have a service dog/ other animal to assist with a disability?

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* 15. Are you a Service Connected Disabled Veteran who receives services through the Department of Veterans Affairs?

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* 16. Would you like someone on the Commission of Disabilities to contact you? If so can you please provide your contact information.

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* 17. Any other comments or questions you would like to share with the Commission on Disabilities?

Thank you!
Commission on Disabilities

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