Advocacy, Inc. wants to make sure our services match what people with disabilities say is
important in their lives. To do that, we do a survey every few years. We ask people with
disabilities, their families and friends, disability advocates and others to tell us about things that are most important to them.
You can help by taking a few minutes to complete this survey. Please remember, there are no wrong answers. We want to know what is important to you in your daily life.
For help filling out the survey, call 1-888-665-6602 (free)
To do the survey online, go to: www.advocacyinc.org/survey.
When you are done, please mail the survey to:
Advocacy, Inc.
7800 Shoal Creek, Blvd., #171-E
Austin TX 78757
DEADLINE: September 30, 2008
Section 1: Your Important Issues
Please read Section 1 all the way through before marking your choices.
Then, select ranks of the five (5) items that are most important to you in your daily life. Rank #1 being the most important to you, then 2 for the next important ... all the way to 5
Please Note: You cannot rank more than 5 choices
If you want to add any comments to the survey, write in the the comment box at the end of this page.
NOTE: If you are a parent, family member or caregiver doing this survey on behalf of a person with a disability, please select the things that you feel most closely reflect his or her views. If you are a professional or advocate, please select the things you believe most closely reflect the views of the people with disabilities you know.
Section 1: The five things that are most important to me in my daily life are:
Being able to make or be involved in making decisions about my life
Knowing how to get the help or support I need to live where I want
Going to school to learn skills I can use in my life
Having help and support to stay out of trouble in school
Being treated fairly if I get in trouble in school
Being in regular classes with kids without disabilities
Having technology that can help me do my school work better
Having a plan and being prepared for my life after high school
Understanding my rights in special education
Being able to rent or own an apartment or house I can afford to pay for
Being able to rent or own an apartment or house that's barrier-free
Having a job
Earning a good salary
Having technology to help me get a job or do my job better or more easily
Knowing my rights as a worker with a disability
Being able to vote
Having transportation that meets my needs
Being able to see a doctor or other health care specialist (including mental health specialists) when I need to
Knowing what health insurance I'm eligible for and how to get it
Knowing what to do if I don't agree with my health insurance provider
Being safe where I live
Knowing what to do if I feel threatened or unsafe or have been hurt
Being able to communicate about my health, safety and legal needs (with doctors, lawyers, police, etc.)
Knowing what to do if my civil or legal rights are violated
Getting out of a nursing home, state school or other institution
Knowing how to be prepared for a disaster or emergency