2021 Advocacy Survey Plan survey

DRM would like your help to decide which issues we should focus on for the next year (2021). Thank you in advance for your help.

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* 1. I am (check all that apply)

a person with a disability

an advocate for people with disabilities

a family member of a person with a disability

a service provider for people with disabilities

Other (please specify)

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* 2. In which county do you live?

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* 3. OPTIONAL: If you would like to receive more information about DRM, please give us your contact information.

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

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* 4. What are the 3 most important issues for DRM to work on during the next year?

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* 5. Do you have any feedback about how we are doing?

	yes	no	don't know
Is our website easy to use?	Is our website easy to use? yes	Is our website easy to use? no	Is our website easy to use? don't know
Is the office easy to access?	Is the office easy to access? yes	Is the office easy to access? no	Is the office easy to access? don't know
Is our staff knowledgeable?	Is our staff knowledgeable? yes	Is our staff knowledgeable? no	Is our staff knowledgeable? don't know
Is our intake process convenient?	Is our intake process convenient? yes	Is our intake process convenient? no	Is our intake process convenient? don't know

Comments?

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* 6. Do you have any other comments about our work?

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* 7. Where is DRM's help most needed for people with disabilities to have access to their communities?

	not needed	somewhat needed	most needed	no opinion
Fair Housing including affordable housing, integrated housing, accessible housing and reasonable accommodations/modifications	Fair Housing including affordable housing, integrated housing, accessible housing and reasonable accommodations/modifications not needed	Fair Housing including affordable housing, integrated housing, accessible housing and reasonable accommodations/modifications somewhat needed	Fair Housing including affordable housing, integrated housing, accessible housing and reasonable accommodations/modifications most needed	Fair Housing including affordable housing, integrated housing, accessible housing and reasonable accommodations/modifications no opinion
Public transportation, including paratransit services, and lack of transportation options	Public transportation, including paratransit services, and lack of transportation options not needed	Public transportation, including paratransit services, and lack of transportation options somewhat needed	Public transportation, including paratransit services, and lack of transportation options most needed	Public transportation, including paratransit services, and lack of transportation options no opinion
Voting	Voting not needed	Voting somewhat needed	Voting most needed	Voting no opinion
Education	Education not needed	Education somewhat needed	Education most needed	Education no opinion
Community integration, including services and supports	Community integration, including services and supports not needed	Community integration, including services and supports somewhat needed	Community integration, including services and supports most needed	Community integration, including services and supports no opinion
Employment	Employment not needed	Employment somewhat needed	Employment most needed	Employment no opinion
Unnecessary guardianship	Unnecessary guardianship not needed	Unnecessary guardianship somewhat needed	Unnecessary guardianship most needed	Unnecessary guardianship no opinion
Services to communities with Limited English Proficiency (LEP)	Services to communities with Limited English Proficiency (LEP) not needed	Services to communities with Limited English Proficiency (LEP) somewhat needed	Services to communities with Limited English Proficiency (LEP) most needed	Services to communities with Limited English Proficiency (LEP) no opinion
Deinstitutionalization, including criminal justice	Deinstitutionalization, including criminal justice not needed	Deinstitutionalization, including criminal justice somewhat needed	Deinstitutionalization, including criminal justice most needed	Deinstitutionalization, including criminal justice no opinion
COVID-19 mitigation (please explain below)	COVID-19 mitigation (please explain below) not needed	COVID-19 mitigation (please explain below) somewhat needed	COVID-19 mitigation (please explain below) most needed	COVID-19 mitigation (please explain below) no opinion

Other Areas or Comments(please specify)

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* 8. Where is DRM's help most needed for people with disabilities regarding health care?

	not needed	somewhat needed	most needed	no opinion
Getting Medicaid services such as in-home nursing, in-home aides, non-emergency medical transportation, etc.	Getting Medicaid services such as in-home nursing, in-home aides, non-emergency medical transportation, etc. not needed	Getting Medicaid services such as in-home nursing, in-home aides, non-emergency medical transportation, etc. somewhat needed	Getting Medicaid services such as in-home nursing, in-home aides, non-emergency medical transportation, etc. most needed	Getting Medicaid services such as in-home nursing, in-home aides, non-emergency medical transportation, etc. no opinion
Education about Medicaid services	Education about Medicaid services not needed	Education about Medicaid services somewhat needed	Education about Medicaid services most needed	Education about Medicaid services no opinion
Help with other Medicaid system issues (please explain below)	Help with other Medicaid system issues (please explain below) not needed	Help with other Medicaid system issues (please explain below) somewhat needed	Help with other Medicaid system issues (please explain below) most needed	Help with other Medicaid system issues (please explain below) no opinion
Getting assistive technology, including durable medical equipment	Getting assistive technology, including durable medical equipment not needed	Getting assistive technology, including durable medical equipment somewhat needed	Getting assistive technology, including durable medical equipment most needed	Getting assistive technology, including durable medical equipment no opinion
Using Medicaid to prevent out of home or congregate care settings, or entering criminal justice system.	Using Medicaid to prevent out of home or congregate care settings, or entering criminal justice system. not needed	Using Medicaid to prevent out of home or congregate care settings, or entering criminal justice system. somewhat needed	Using Medicaid to prevent out of home or congregate care settings, or entering criminal justice system. most needed	Using Medicaid to prevent out of home or congregate care settings, or entering criminal justice system. no opinion

Other Areas or Comments(please specify)

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* 9. Where is DRM's help most needed for people with developmental disabilities?

	not needed	somewhat needed	most needed	no opinion
Training and support for self-advocates	Training and support for self-advocates not needed	Training and support for self-advocates somewhat needed	Training and support for self-advocates most needed	Training and support for self-advocates no opinion
Ensuring community integration by increasing access to quality health care and other services in the community	Ensuring community integration by increasing access to quality health care and other services in the community not needed	Ensuring community integration by increasing access to quality health care and other services in the community somewhat needed	Ensuring community integration by increasing access to quality health care and other services in the community most needed	Ensuring community integration by increasing access to quality health care and other services in the community no opinion
Accessing meaningful activities, including employment and recreation	Accessing meaningful activities, including employment and recreation not needed	Accessing meaningful activities, including employment and recreation somewhat needed	Accessing meaningful activities, including employment and recreation most needed	Accessing meaningful activities, including employment and recreation no opinion
Appealing denial of service decisions	Appealing denial of service decisions not needed	Appealing denial of service decisions somewhat needed	Appealing denial of service decisions most needed	Appealing denial of service decisions no opinion
Helping people move out of institutions	Helping people move out of institutions not needed	Helping people move out of institutions somewhat needed	Helping people move out of institutions most needed	Helping people move out of institutions no opinion
Keeping people free from abuse, neglect and exploitation	Keeping people free from abuse, neglect and exploitation not needed	Keeping people free from abuse, neglect and exploitation somewhat needed	Keeping people free from abuse, neglect and exploitation most needed	Keeping people free from abuse, neglect and exploitation no opinion
Obtaining assistive technology, accommodations or effective communications	Obtaining assistive technology, accommodations or effective communications not needed	Obtaining assistive technology, accommodations or effective communications somewhat needed	Obtaining assistive technology, accommodations or effective communications most needed	Obtaining assistive technology, accommodations or effective communications no opinion
Promote self-determination and alternatives to guardianship	Promote self-determination and alternatives to guardianship not needed	Promote self-determination and alternatives to guardianship somewhat needed	Promote self-determination and alternatives to guardianship most needed	Promote self-determination and alternatives to guardianship no opinion

Other Areas or Comments (please specify)

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* 10. Where is DRM’s help needed most regarding voting rights for people with disabilities?

	not needed	somewhat needed	most needed	no opinion
Accessible polling sites and machines	Accessible polling sites and machines not needed	Accessible polling sites and machines somewhat needed	Accessible polling sites and machines most needed	Accessible polling sites and machines no opinion
Accessible voting processes (vote by mail)	Accessible voting processes (vote by mail) not needed	Accessible voting processes (vote by mail) somewhat needed	Accessible voting processes (vote by mail) most needed	Accessible voting processes (vote by mail) no opinion
Allowing people with disabilities to have help placing their vote, if they would like it	Allowing people with disabilities to have help placing their vote, if they would like it not needed	Allowing people with disabilities to have help placing their vote, if they would like it somewhat needed	Allowing people with disabilities to have help placing their vote, if they would like it most needed	Allowing people with disabilities to have help placing their vote, if they would like it no opinion
Training election judges on disability issues	Training election judges on disability issues not needed	Training election judges on disability issues somewhat needed	Training election judges on disability issues most needed	Training election judges on disability issues no opinion
Voter registration, outreach and training	Voter registration, outreach and training not needed	Voter registration, outreach and training somewhat needed	Voter registration, outreach and training most needed	Voter registration, outreach and training no opinion

Other Areas and Comments(please specify)

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* 11. Where is DRM’s help needed most for people with mental health issues?

	not needed	somewhat needed	most needed	no opinion
Training and support for self-advocates	Training and support for self-advocates not needed	Training and support for self-advocates somewhat needed	Training and support for self-advocates most needed	Training and support for self-advocates no opinion
Expanding and promoting quality community services and housing options	Expanding and promoting quality community services and housing options not needed	Expanding and promoting quality community services and housing options somewhat needed	Expanding and promoting quality community services and housing options most needed	Expanding and promoting quality community services and housing options no opinion
Addressing problems in emergency rooms	Addressing problems in emergency rooms not needed	Addressing problems in emergency rooms somewhat needed	Addressing problems in emergency rooms most needed	Addressing problems in emergency rooms no opinion
Moving the mental health and juvenile justice systems to community-based treatment services	Moving the mental health and juvenile justice systems to community-based treatment services not needed	Moving the mental health and juvenile justice systems to community-based treatment services somewhat needed	Moving the mental health and juvenile justice systems to community-based treatment services most needed	Moving the mental health and juvenile justice systems to community-based treatment services no opinion
Helping people move out of institutions	Helping people move out of institutions not needed	Helping people move out of institutions somewhat needed	Helping people move out of institutions most needed	Helping people move out of institutions no opinion
Prevent over-policing and criminalization of people with disabilities	Prevent over-policing and criminalization of people with disabilities not needed	Prevent over-policing and criminalization of people with disabilities somewhat needed	Prevent over-policing and criminalization of people with disabilities most needed	Prevent over-policing and criminalization of people with disabilities no opinion
Ensuring provision of mental health services in the criminal justice system	Ensuring provision of mental health services in the criminal justice system not needed	Ensuring provision of mental health services in the criminal justice system somewhat needed	Ensuring provision of mental health services in the criminal justice system most needed	Ensuring provision of mental health services in the criminal justice system no opinion
Defending the rights of people in hospitals, institutions, and community mental health programs	Defending the rights of people in hospitals, institutions, and community mental health programs not needed	Defending the rights of people in hospitals, institutions, and community mental health programs somewhat needed	Defending the rights of people in hospitals, institutions, and community mental health programs most needed	Defending the rights of people in hospitals, institutions, and community mental health programs no opinion
Keeping people free from abuse, neglect and exploitation	Keeping people free from abuse, neglect and exploitation not needed	Keeping people free from abuse, neglect and exploitation somewhat needed	Keeping people free from abuse, neglect and exploitation most needed	Keeping people free from abuse, neglect and exploitation no opinion

Other Areas or Comments (please specify)

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* 12. Where is DRM’s help needed most for people with traumatic brain injury (TBI)?

	not needed	somewhat needed	most needed	no opinion
Housing issues	Housing issues not needed	Housing issues somewhat needed	Housing issues most needed	Housing issues no opinion
Specialized healthcare, mental health, and other treatment services	Specialized healthcare, mental health, and other treatment services not needed	Specialized healthcare, mental health, and other treatment services somewhat needed	Specialized healthcare, mental health, and other treatment services most needed	Specialized healthcare, mental health, and other treatment services no opinion
Other community services and supports (please specify below)	Other community services and supports (please specify below) not needed	Other community services and supports (please specify below) somewhat needed	Other community services and supports (please specify below) most needed	Other community services and supports (please specify below) no opinion
Employment issues	Employment issues not needed	Employment issues somewhat needed	Employment issues most needed	Employment issues no opinion
Special education for children	Special education for children not needed	Special education for children somewhat needed	Special education for children most needed	Special education for children no opinion

Other Areas or Comments (please specify)

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* 13. Where is DRM’s help needed most regarding special education issues for children?

	not needed	somewhat needed	most needed	no opinion
Decreasing suspension, expulsion, school-based arrests and other punitive exclusionary disciplinary practice	Decreasing suspension, expulsion, school-based arrests and other punitive exclusionary disciplinary practice not needed	Decreasing suspension, expulsion, school-based arrests and other punitive exclusionary disciplinary practice somewhat needed	Decreasing suspension, expulsion, school-based arrests and other punitive exclusionary disciplinary practice most needed	Decreasing suspension, expulsion, school-based arrests and other punitive exclusionary disciplinary practice no opinion
Preventing restraint and seclusion	Preventing restraint and seclusion not needed	Preventing restraint and seclusion somewhat needed	Preventing restraint and seclusion most needed	Preventing restraint and seclusion no opinion
Education in the least restrictive environment	Education in the least restrictive environment not needed	Education in the least restrictive environment somewhat needed	Education in the least restrictive environment most needed	Education in the least restrictive environment no opinion
Appropriate transition planning	Appropriate transition planning not needed	Appropriate transition planning somewhat needed	Appropriate transition planning most needed	Appropriate transition planning no opinion
Assistive technology	Assistive technology not needed	Assistive technology somewhat needed	Assistive technology most needed	Assistive technology no opinion
Extended school year services	Extended school year services not needed	Extended school year services somewhat needed	Extended school year services most needed	Extended school year services no opinion
School health, mental health or nursing services	School health, mental health or nursing services not needed	School health, mental health or nursing services somewhat needed	School health, mental health or nursing services most needed	School health, mental health or nursing services no opinion
Graduation/ high school assessment issues	Graduation/ high school assessment issues not needed	Graduation/ high school assessment issues somewhat needed	Graduation/ high school assessment issues most needed	Graduation/ high school assessment issues no opinion
Helping individual students get appropriate special education services, including related services and appropriate accommodations	Helping individual students get appropriate special education services, including related services and appropriate accommodations not needed	Helping individual students get appropriate special education services, including related services and appropriate accommodations somewhat needed	Helping individual students get appropriate special education services, including related services and appropriate accommodations most needed	Helping individual students get appropriate special education services, including related services and appropriate accommodations no opinion
COVID-19 related issues, including individualized continuity of learning plans, return to school, compensatory or make-up services, and digital access	COVID-19 related issues, including individualized continuity of learning plans, return to school, compensatory or make-up services, and digital access not needed	COVID-19 related issues, including individualized continuity of learning plans, return to school, compensatory or make-up services, and digital access somewhat needed	COVID-19 related issues, including individualized continuity of learning plans, return to school, compensatory or make-up services, and digital access most needed	COVID-19 related issues, including individualized continuity of learning plans, return to school, compensatory or make-up services, and digital access no opinion

Other Areas or Comments (please specify)

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* 14. Where is DRM’s help needed most so people with disabilities have the financial resources to live independently?

	not needed	somewhat needed	most needed	no opinion
Services for Social Security recipients who are trying to go back to work	Services for Social Security recipients who are trying to go back to work not needed	Services for Social Security recipients who are trying to go back to work somewhat needed	Services for Social Security recipients who are trying to go back to work most needed	Services for Social Security recipients who are trying to go back to work no opinion
Helping Social Security recipients keep their Medicaid coverage when returning to work	Helping Social Security recipients keep their Medicaid coverage when returning to work not needed	Helping Social Security recipients keep their Medicaid coverage when returning to work somewhat needed	Helping Social Security recipients keep their Medicaid coverage when returning to work most needed	Helping Social Security recipients keep their Medicaid coverage when returning to work no opinion
Accommodations in the workplace	Accommodations in the workplace not needed	Accommodations in the workplace somewhat needed	Accommodations in the workplace most needed	Accommodations in the workplace no opinion
Assistive technology in the workplace	Assistive technology in the workplace not needed	Assistive technology in the workplace somewhat needed	Assistive technology in the workplace most needed	Assistive technology in the workplace no opinion
Addressing overpayment of Social Security benefits	Addressing overpayment of Social Security benefits not needed	Addressing overpayment of Social Security benefits somewhat needed	Addressing overpayment of Social Security benefits most needed	Addressing overpayment of Social Security benefits no opinion

Other Areas or Comments (please specify)

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* 15. Where is DRM’s help needed most to ensure human rights in institutions (such as nursing facilities, state residential centers, psychiatric hospitals, and jails)?

	not needed	somewhat needed	most needed	no opinion
Appropriate discharge planning	Appropriate discharge planning not needed	Appropriate discharge planning somewhat needed	Appropriate discharge planning most needed	Appropriate discharge planning no opinion
Getting desired and appropriate treatment and care in institutions	Getting desired and appropriate treatment and care in institutions not needed	Getting desired and appropriate treatment and care in institutions somewhat needed	Getting desired and appropriate treatment and care in institutions most needed	Getting desired and appropriate treatment and care in institutions no opinion
Preventing restraint & seclusion	Preventing restraint & seclusion not needed	Preventing restraint & seclusion somewhat needed	Preventing restraint & seclusion most needed	Preventing restraint & seclusion no opinion
Decreasing the use of forced medication	Decreasing the use of forced medication not needed	Decreasing the use of forced medication somewhat needed	Decreasing the use of forced medication most needed	Decreasing the use of forced medication no opinion
Decreasing the use of institutions and large congregate living settings	Decreasing the use of institutions and large congregate living settings not needed	Decreasing the use of institutions and large congregate living settings somewhat needed	Decreasing the use of institutions and large congregate living settings most needed	Decreasing the use of institutions and large congregate living settings no opinion
Information and training about client rights	Information and training about client rights not needed	Information and training about client rights somewhat needed	Information and training about client rights most needed	Information and training about client rights no opinion
Conducting investigations of abuse & neglect	Conducting investigations of abuse & neglect not needed	Conducting investigations of abuse & neglect somewhat needed	Conducting investigations of abuse & neglect most needed	Conducting investigations of abuse & neglect no opinion
Protecting the rights of people with disabilities in jails and prisons	Protecting the rights of people with disabilities in jails and prisons not needed	Protecting the rights of people with disabilities in jails and prisons somewhat needed	Protecting the rights of people with disabilities in jails and prisons most needed	Protecting the rights of people with disabilities in jails and prisons no opinion
Limiting over-policing and criminalization of people with disabilities	Limiting over-policing and criminalization of people with disabilities not needed	Limiting over-policing and criminalization of people with disabilities somewhat needed	Limiting over-policing and criminalization of people with disabilities most needed	Limiting over-policing and criminalization of people with disabilities no opinion

Other Areas or Comments (please specify)