Survey

The mission of the LIFT (Life and Independence for Today) County's Commission is to work to identify and solve issues that affect citizens in Clearfield County, especially those citizens with disabilities. Please take a few minutes to fill out this survey to help us to identify the issues in your community. Thank you!

Regarding issues that affect citizens, especially those citizens with disabilities, please rank, in order of importance to you, the issues that you feel the commission should attempt to address, with 1 being the most important:


Employment
Housing
Transportation
Accessibility in public places
Other

I have a disability
A member of my family has a disability
The zip code where I live is:
The County I live in:

The LIFT (Life and Independence for Today) County Commission's mission is to work to identify and solve issues that affect citizens in the county, especially those citizens with disabilities. Please take a few minutes to fill out this survey to help us to identify the issues in your community. Thank You!

Next to each item, please choose the number that best expresses your thoughts on the following issues using the following scale: 4=STRONGLY AGREE 3=AGREE 2=DISAGREE 1=STRONGLY DISAGREE 0=NO OPINION

1. I do not have a job, but I want to work.

2. I have a job and my accommodation needs are being met by my employer.

3. I need more education or training.

4 Where I live is affordable.

5. Where I live is safe.

6. Where I live is accessible.

7. Affordable housing is easy to find in my community

8. There is a need for better transportation in my community.

9. There are enough accessible parking spaces in my community.

10. The restaurants, stores and other facilities in my community are accessible to me.

11. The accessible parking spaces and walkways in my community are kept cleared of snow and slush in the winter.

If you would like to be contacted by the committee to expand on your responses, please provide your name and contact information below:


Optional information:

Name:		Life and Independence for Today 503 Arch Street Extension St. Marys, Pennsylvania, 15857 Toll Free: (800) 341-LIFT (5438) PA Relay: (800) 654-5984 Voice: (814) 781-3050 Fax: (814) 781-1917 Email: lift@liftcil.org
Address:
City:
State:
Zip:
County:
Phone #:
Fax #:
TTY#:
Email:

Message:

Return to LIFT Home Page