Community Survey for High Point's Special Populations Task Force

Community Survey for High Point's Special Populations Task Force

The purpose of this survey is to help the Mayor's Special Populations Task Force better understand the experiences, needs, and priorities of people with disabilities, caregivers, families, service providers, employers and community members. Survey responses will help inform recommendations from the Special Populations Task Force. Note: If you are a caregiver filling this form out on someone else’s behalf, please also complete the survey a second time for yourself.
Si prefieres completar esta encuesta en español, haz clic aquí: https://form.jotform.com/261935040557155
اگر آپ یہ سروے اردو میں مکمل کرنا چاہتے ہیں، تو براہِ کرم یہاں کلک کریں: https://form.jotform.com/261935615095160
About You
1. Which best describes your connection to the special populations community? (Check all that apply)

Other

2. What is your relationship to High Point? (Check all that apply)

Rows	Check all that apply	Specify
I live in High Point (please specify zip code)
I attend a school or other place of learning in High Point
I work in High Point
I play and participate in activities in High Point
Other (please specify)

4. What type of disability or support need most closely applies to you or the person you support? (Check all that apply and please specify)

Rows	Check all that apply	Specify
Physical/Chronic Health Condition:
Physical/Mobility Impairment:
Mental or Psychiatric Disability:
Vision-Related Disability:
Hearing-Related Disability:
Learning Disability:
Cognitive/Intellectual Developmental Disability:
Other:
Not applicable

Workforce Development
5. In your opinion, how easy is it for people with disabilities to find meaningful employment opportunities in High Point?
6. What employment barriers have you experienced or observed? (Check all that apply)

Other
7. What one workforce-related improvement do you believe would have the greatest impact on quality of life in High Point?
Transportation & Accessibility
8. How do you most often travel to work, appointments, recreation activities or community events? (Check all that apply)

Other
9. What transportation or accessibility barriers have you experienced? (Check all that apply)

Other
10. In your opinion, what transportation or accessibility improvement would make the biggest difference for you?
Recreation & Community Participation
11. Approximately how often do you attend or use the recreation programs, community events and amenities available for people with disabilities in High Point?
12. How satisfied are you with the recreation programs, community events and amenities available for people with disabilities in High Point?

13. What barriers prevent participation in recreation programs, community events or public activities? (Check all that apply)

Rows	Check all that apply	Please specify (Accessibility and Other)
Transportation
Cost
Accessibility concerns (Please specify)
Lack of information
Scheduling
Lack of appropriate programs
Sensory concerns
Need for caregiver support
Other (Please specify)

14. What recreation program, community activity or amenity would you most like to see added or expanded upon in High Point?
Community Awareness, Advocacy & Collaboration
15. Where do you get your information about services, programs and community resources on disability? (Check all that apply)

Other
16. What would make it easier to access information about services and opportunities in High Point? (Check all that apply)

Other
Final Question: In your opinion, if the City of High Point could make one change that would most improve quality of life for people with disabilities and their families, what would it be?
Should be Empty:

About You