1.Are people with I/DD supported by your organization beginning to receive the COVID-19 vaccine? Please use the space provided to share any insights and experiences.

2.Are direct support professionals employed by your organization beginning to receive the COVID-19 vaccine? Please use the space provided to share any insights and experiences.

3.Does your organization have a clinic scheduled for people you support and employ to receive the vaccine?

Yes

No

4.What roadblocks have you encountered in your efforts to ensure everyone who needs a vaccine (among people with I/DD supported by your organization and DSPs employed by your organization) can get one?

*5.What is your name? (This information will be kept confidential and only used in case we need to follow up with you regarding the information shared here.)(Required.)

*6.What is the name of your organization?(Required.)

*7.In what state(s) does your organization provide services?(Required.)