the symbol for the 2011-21012 program survey Program Survey

from the Rhode Island Developmental Disabilities Council

Please tell us what you think by answering the following questions. Your answers will help us learn what worked, what didn't, and what you might like us to do in the future. We would appreciate it if you would please complete this Survey for each DDC activity you have participated in.

clipart of a man with a checklistPlease check one of the following listing of DD Council Activities that you attended or participated in… (Required)

RI Cross Disability Coalition Meeting

Asset Development Meeting (Real Economic Impact Tour (REIT) Meeting)

PAL's Financial Education Class ("That's Money In The Bank")

Self-Employment (Individual Businesses) Project

Employment Training Series (Customized Employment, Discovery, Benefits Planning, Work Incentives, and Business Planning)

Earned Income Tax Credit (EITC) Meeting

Human Rights Education ("Life Is Good!")

Employment Can Work For You! Video Presentation

"Healthy Lifestyles" Presentation/Series

Disability Awareness at Providence Children's Museum

Inclusion Film Series (Boy in the World, Including Samuel, Rory O'Shea, Universal Design in Learning)

Universal Design Team participation

Service Learning for Direct Support Professionals

Service Learning for Teachers of Life Skills

Service Learning for Students in High School and Transition programs

Adult Education Learning Disabilities Advisory Group participation

Self-Advocacy Appreciative Inquiry Focus Groups participation

Caregiver Respite Curriculum (English)

Caregiver Respite Curriculum (Spanish)

When did you participate in this activity?

Date:

Are there any other specific activities of the Council that you have participated in that are not mentioned above or that you want to suggest for future consideration by the DD Council?

clipart showing a group of different people holding hands

Please select the category that best describes you. (Required)

Individual with a disability

Council Member

Associate Council Member

Other

Family Member

Council Member

Associate Council Member

Other

Other

Council Member State Agency Rep

Associate Council Member

Community Provider

Advocacy Organization

State Agency

Business

Individual

  1. I was treated with respect during this activity.

    Directions: Please select either YES or NO.

    Yes No

  2. an image of a person at the center of four arrows pointing outwardI heard about resource people, new information or actions I can be responsible for so that I have more choice and control of my life as a result of this activity.

    Directions: Please select either YES or NO.

    Yes No

  3. an image of a diagram about knowing your communityI heard about resource people, new information or actions I can be responsible for so that I can do more things in my community as a result of this activity.

    Directions: Please select either YES or NO.

    Yes No

  4. I am satisfied with this project activity.

    strongly agree Strongly Agree

    agree Agree

    disagree Disagree

    strongly disagree Strongly Disagree

  5. My life is better or may be better because of my participation in this project activity.

    strongly agree Strongly Agree

    agree Agree

    disagree Disagree

    strongly disagree Strongly Disagree

  6. an image of a person and a light bulbDid you learn anything new as a result of participating in this activity?

  7. Is there more you want to learn about this topic? What would you like to learn more about?

  8. Were human rights and personal safety topics included in this RIDDC activity?

    Yes No

    If yes, please answer 8a and 8b.

    1. Because of this activity I know more about my human rights.

      Yes No

    2. an image of a whistleBecause of the project activity I am safer and can protect myself from harm.

      Yes No