This needs assessment is designed to gather information that will better help us in providing programs and services for people with disabilities within the community. Any information provided is confidential and will only be used to determine programming and services needed to better serve the community.
Please mark all that apply
Please note that not all programs and/or support services will be made available. This survey is to gather information and interest.
Reasonable accommodations are determined on an as needed basis. The questions in this survey do not guarantee that accommodation services will be available for programs offered.
Please choose one box per program and/or service type.
(e.g. swimming lessons, recreation swim, water aerobics)
(e.g. group fitness, nutrition)
(e.g. Social Dances, Clubs)
(e.g. Skills Classes, Leagues)
(e.g. Dance, Theatre, Music)
(e.g. Science, Engineering, Reading and Writing)
Please note that 1:1 support services provided by CSD staff may not be available for all programs. Reasonable accommodations are determined on an individual basis.
This field is not part of the form submission.
* indicates a required field
