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1.
How would you best describe yourself? Choose ALL that apply.
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Please answer the following questions and let us know how important you feel the need for further education / public awareness is on each topic, on a scale of 1 (Not Important At All) to 5 (Extremely Important.)
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2.
Healthcare Issues: including Emergency Room treatment, involuntary or voluntary confinement, treatment issues and accessibility.
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3.
Which specific issue(s) in relation to Healthcare are you most interested in? (please write in your response):
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4.
Veterans Issues: including Posttraumatic stress disorder (PTSD), Traumatic Brain Injury (TBI), Depression, Substance Abuse, Re-entry into society, Accessing mental health and substance abuse services, and other issues faced by combat veterans.
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5.
Which specific issue(s) in relation to Veterans are you most interested in? (please write in your response):
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6.
Geriatric / Elderly Issues: diagnosing mental illness in the elderly, issues of underdiagnosis, understanding the difference between mental illness and "just getting old."
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7.
Which specific issue(s) in relation to Geriatric / Elderly populations are you most interested in? (please write in your response):
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8.
Social Security Benefits Issues: obtaining benefits, maintaining benefits, understanding changes to benefits, Work Incentive Programs.
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9.
Which specific issue(s) in relation to Social Security Benefits are you most interested in? (please write in your response):
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10.
Employment Issues: accommodation of disability in the workplace, the role of job coaches and vocational rehabilitation counselors, how and when to disclose a disability in the workplace, discrimination in the workplace.
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11.
Which specific issue(s) in relation to Employment are you most interested in? (please write in your response):
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12.
Post-secondary Education issues: accommodation of disability in the college setting, knowing your rights to accommodation, addressing discrimination in educational settings.
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13.
Which specific issue(s) in relation to Post-Secondary Education are you most interested in? (please write in your response):
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14.
Multiculturalism and Disability: create greater understanding of how disabilities are defined and treated among different cultural communities.
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15.
Which specific issue(s) in relation to Multiculturalism and Disability are you most interested in? (please write in your response):
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16.
Housing Issues and Disability: accessibility issues, supportive housing programs, fuding for assistive devices, housing opportunities for people with disabilities.
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17.
Which specific issue(s) in relation to Housing Issues and Disability are you most interested in? (please write in your response):
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18.
Is there an issue not listed above that affects people with disabilities that you feel needs to be addressed? If so, please describe it in the text box below:
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When you are finished, please click the "Finished" button at bottom-right. Thank you for your time and for helping People With Disabilities Foundation identify areas of concern to be addressed in future public seminars and training materials.
Thank You!
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