48th Ward Neighbors for Justice Accessibility Questionnaire

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Dear Neighbor,
In an effort to make our neighborhood a safer place for all to enjoy, we’re sharing with you a questionnaire that will help us to better understand the accessibility needs of our neighbors. Please feel free to remain anonymous, and know that your responses are helping your neighbors to enjoy a more accessible community.
Sincerely,
48th Ward Neighbors

Please check all that applies to you: *

Person with a disability

Family member, friend, or caregiver of a person with a disability

Employed or volunteer at an organization that provides services to people with disabilities

Merchant or businessperson

Other:

Required

What is your most used form of travel? *

Bus

Car

Bike

Walk

Other:

Have you encountered any barriers to accessing a specific business or facility in our neighborhood, or in surrounding neighborhoods? If so, please provide the business name and address:

If you have specific problems getting around on 48th Ward streets because of missing, inaccessible, or damaged sidewalks and/or ramps, traffic signals that do not help you safely cross the street, or objects in your way, please tell us about the specific problem and location:

Do you have other ADA accessibility concerns for the 48th Ward?

If you'd like to be contacted when your accessibility concern is resolved, please leave your name and email (both optional).

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