Needs Assessment- OBVS

1. Please identify which term describes you best:

• Blind or Visually Impaired
• Deaf-Blind Individual
• Parent or Guardian
• Service Provider or Professional
• Family Member
• Other

2. What is your racial or ethnic group?

• American Indian or Alaskan Native
• Asian
• Black
• Native Hawaiian or Other Pacific Islander
• White
• Hispanic or Latino

2. In what type of geographic area do you live?

• Rural
• Urban or City
• Suburbs

3. What are the unmet independence and employment needs of individuals who are blind or low vision?
Please check all that apply

• Assistive Technology
• Orientation and Mobility
• Rehabilitation Teaching or Independent Living skills training
• job development or job placement services
• Vocational or Employment skill training
• Other

4. What are the unmet independence and employment needs of individuals who are deaf/blind?
Please check all that apply

• Assistive Technology
• Orientation and Mobility
• Rehabilitation Teaching or Independent Living Skill training
• Job development or Job placement services
• Vocational or Employment Skill training
• Other