Do you identify as a person with a disability? For the purpose of this survey we define disability as a long-term physical, mental, intellectual or sensory impairment which, in interaction with various attitudinal and environmental barriers, hinders your full and effective participation in society on an equal basis with others.
- Yes
- No
If you answered yes, what parts of your life does your disability affect?
- My disability affects focus, memory, and attention.
- My disability affects my emotions and how I perceive the emotions of others.
- My disability affects my hearing.
- My disability affects my mood, thinking, and behavior.
- My disability affects how I move.
- My disability affects my vision.
- My disability affects another part of my life as follows: __________________.
- I do not have a disability.
- Prefer not to answer.
Does your disability affect how you work?
- Yes
- No
- I do not have a disability.
- Prefer not to answer.