Participate in the COVID-19 Return to Business Accessibility Survey

Are you a person with a disability living in Canada and over 18? Sign up here for the Rick Hansen Foundation's COVID-19 Return to Business Accessibility Survey as a participant. After you sign up, we will be in touch by phone or email to complete the survey.

1. First Name *This question is required.

2. Last Name *This question is required.

3. Phone Number *This question is required.

*This will not be shared or used other than for the purposes of this survey. Your privacy is important to us.

4. Email Address This question requires a valid email address.

5. Preferred Method of Communication (check all that apply)

Phone Call
Text Message (SMS)
Email
Other - Write In Please enter an 'other' value for this selection.

7. Preferred Call Time

9am - 12pm
12pm - 5pm
5pm - 8pm

7. Time Zone

7. Preferred Language

8. Are there any accessibility accommodations we should keep in mind when contacting you? (please provide details below)

9. I consent to be contacted via phone or email regarding this research project. I understand that RHF will not share my contact information with any third parties. *This question is required.