Emporia Accessibility Advisory Committee  Community Survey
  1. Your response on this survey will be used to help the Accessibility Advisory Committee provide guidance to City  Administration regarding improving access to services, facilities, programs, and communications in the City.   All surveys will be reviewed at monthly meetings of the Accessibility Advisory Committee. Summaries of survey  responses will be provided to the City Commission to help prioritize community needs, assure accessibility  problems are being addressed,  and improve compliance with the Americans with Disabilities Act.    By checking a number, please rate the City's accessibility in the following areas indicating:  1 ‐ Good, 2 ‐ Acceptable, 3 ‐ Barely Acceptable, 4 ‐ Needs Improvement, 5 ‐ Needs Immediate Attention. Please list specific concerns or locations on the line following. 
  2. Downtown sidewalks and ramps
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  3. Specific Concerns
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  4. Residential sidewalks and ramps
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  5. Specific Concerns
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  6. Traffic Signals
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  7. Specific Concerns
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  8. City Buildings
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  9. Specific Concerns
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  10. Specific departments within the City
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  11. Specific Concerns
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  12. City Services
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  13. Specific Concerns
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  14. Participation in public meetings
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  15. Specific Concerns
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  16. Communication or publications
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  17. Specific Concerns
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  18. City park facilities
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  19. Specific Concerns
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  20. Recreation facilities or services
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  21. Specific Concerns
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  22. Availability of assistive technology
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  23. Specific Concerns
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  24. Which of the areas listed above should be the first priority for improvements?
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  25. If you know of any other accessibility problem(s), please list them below and include the location. 
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  26. If anyone in your household has a disability that impairs their access to city services, facilities, programs, or events, what  type of disability accommodation do they need and is that need being met?
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  27. If you have out of town visitors, clients, or customers with disabilities, please share any comments they have made  about accessibility in the City of Emporia or any accessibility problems they have mentioned.
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  28. Would you be interested in serving on the Accessibility Advisory Committee in the future? 
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  29. Your contact information is optional but could help us better address issues, if we have questions. 
  30. Name
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  31. Address
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  32. Phone
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  33. E-Mail
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  34. Thank you for taking the time to complete this survey. To obtain this survey form in an alternative format, request an accommodation, discuss accessibility or discrimination issues, file a complaint, or ask questions about this survey, contact Jeff Lynch, ADA Coordinator, at 620‐343‐4285 or e‐mail jlynch@emporia‐kansas.gov
  35. CAPTCHA(*)
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