• Family & Community Voices: Ongoing Feedback Form

    This form will remain open throughout the year as an ongoing opportunity to share your experiences, observations, recommendations, concerns, and other feedback with FCC Area 4. Responses are anonymous and will be reviewed regularly to help identify trends, guide topics of discussion during FCC Area 4 meetings, and inform our Annual Advisory Report. Feedback may be summarized and included in aggregate; no personally identifiable information will be included or shared.
  • FCC Area 4 Family & Community Feedback
    The Family Care Council Area 4 (FCC4) invites individuals, families, caregivers, providers, and community partners to share their experiences navigating services and supports for individuals with intellectual and developmental disabilities.

    This form will remain open throughout the year as an ongoing opportunity to share feedback with FCC Area 4. Responses will help us identify emerging concerns, recognize what is working, guide conversations during regular FCC4 meetings, and inform our Annual Advisory Report.

    We want to hear from you about:

    ✅ What services, supports, or resources are working well?
    ✅ What barriers or challenges have you encountered?
    ✅ Where are the gaps in services, providers, or funding?
    ✅ What information or resources are difficult to find or access?
    ✅ What changes could improve access, outcomes, and quality of life for individuals and families?

    Your lived experiences help FCC Area 4 better understand what is happening in our communities and develop meaningful recommendations for system improvements.

    Your privacy matters. Responses are anonymous. Feedback may be summarized and reported in aggregate, but no personally identifiable information will be included or shared.

    Whether you have a success to share, an ongoing concern, an unmet need, or an idea for improvement, we want to hear from you.

    Your voice helps us identify what is working, understand where the system is falling short, and advocate for meaningful solutions.

  • Participant Type*
  • APD Med-Waiver Application Status*
  • Would you like to be added to the Family Care Council Area 4 contact list?*
  • Would you like to register to share your thoughts during the next Family and Community Listening Session held by Family Care Council Area 4?
  • Are you interested in receiving or providing peer support?
  • Are you interested in working in a small group to suggest collaborative solutions?
  • Would you be willing to participate in peer-to-peer support or work in a small group for collaborative solution suggestions?
  • Would you like a representative from Family Care Council Area 4 to contact you to discuss your concerns or provide additional support?
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