2018 Priorities Planning Survey

There was an error on your page. Please correct any required fields and submit again. Go to the first error
Introduction
Disability Rights Montana, Montana’s protection and advocacy system, is developing its goals and objectives for the upcoming 2018 fiscal year that starts October 1, 2017. We depend on people with disabilities, family members of people with disabilities, and the public to tell us what disability issues are most important. This survey is one way for us to gather information. Please help us by answering the questions in this survey. All questions are optional. Answer the questions that are important to you.

If you want to call to give us comments or request accommodations, please call 1-800-245-4743.

You must click the submit button at the end of this Survey in order for us to receive your input.

We need your comments by Wednesday, September 6, 2017.
1. 1. Abuse and Neglect of adults and children with disabilities residing in Facilities (i.e., Montana State Hospital, Montana Mental Health Nursing Care Center in Lewistown, Montana Developmental Center, psychiatric units in community hospitals, veteran facilities, Psychiatric Residential Treatment Facilities (PRTF)) - select three (3) items that are most important to you:
2. 2. Abuse and Neglect of adults and children with disabilities living in the Community (i.e., group homes, supported living, and individual residences) - select three (3) items that are most important to you:
3. 3. Rights Protections - select up to three (3) that are most important to you:
4. 4. Education - select up to three (3) that are most important to you:
5. 5. Employment - select up to three (3) that are most important to you:
6. 6. Community Participation and Integration - select up to three (3) that are most important to you:
8. 8. Are you a person with a disability?
9. 9. Are you a family member and/or friend of a person with a disability?
10. 10. If you answered "Yes" to either Question 8 or 9, please select ALL disabilities that apply:
11. 11. Your age:
13. 13. Please select ALL that apply to you:
14. 14. Have you ever received services from Disability Rights Montana? Please select ALL that apply:
16. 16. Are you registered to vote?
Disability Rights Montana publishes an electronic newsletter approximately every six weeks. In addition, a weekly electronic newsletter will go out every Friday during the legislative session to keep readers informed of issues that affect people with disabilities at the legislature. If you would like to receive our electronic newsletter, either electronically or a printed copy in the mail, please enter your contact information below.
18. 18. If you would like to receive a printed copy of our electronic newsletter in the mail rather than receiving it electronically, or would like Disability Rights Montana to mail you a voter's registration card, please check the box and enter your contact information in Question 19 below.
19. 19. If you selected yes to either of the options in Question 18, please enter your contact information below. Disability Rights Montana will not use your contact information for any other purpose. If you later decide you would not like to receive a hard copy of the electronic newsletter, please call our office at 1-800-245-4743 and ask to be removed from the electronic newsletter mailing list.