Please help us! We want to hear from self-advocates from around the country about their self-advocacy groups. Self-advocates are people with disabilities who speak up for themselves. If you are a self-advocate AND a member of a self-advocacy group, please fill out this survey.

We know that some self-advocates don't belong to a group, but still have strong opinions. In this survey, we are trying to learn about what self-advocates think about their self-advocacy group. As a result, if you are not a member of a self-advocacy group you wouldn't be able to answer the questions.

We hope to use the information we get to help self-advocacy groups get bigger and stronger.

This survey takes about 20 minutes to complete.

If you complete this survey, you can win a $100 gift card! To enter the drawing for a chance to win, just give us your email address at the end of this survey. One name will be drawn when the survey closes on Wednesday, November 30, 2011. Don't wait. Take the survey today!

Your answers are confidential. We will not share your answers with family members, advisors, staff or others. We will use everyone's answers together to write a report about the self-advocacy movement nation wide. We will share the report with self-advocates and others.

If you need help filling out this survey, ask someone you trust for help. This person can be a family member, a staff person, or a friend. Your opinion is the one we want to hear.

REMEMBER: To complete the survey you MUST be a self-advocate AND a member of a self-advocacy group.


Have questions about the survey? Please contact Yoshi Kardell at 503-924-3783 ext. 18, or ykardell@hsri.org.
Our fax number is 503-924-3789.

Our mailing address is:

Attn: Yoshi Kardell
Human Services Research Institute (HSRI)
7690 SW Mohawk Street
Tualatin, OR 97062

Thank you for taking this survey!

This survey was developed by The Riot at the Human Services Research Institute
www.theriotrocks.org