1. Please select all that apply to you:
1.a Please describe other situations that apply to you.
2. How often do you visit or access any town-owned facility or building (Town Hall, Schools, Senior Center, Municipal offices, etc.)?
3. Is there any particular building in the community that should be prioritized and/or is particularly difficult to access or navigate? If yes, please identify the building(s) and issue(s) below.
4. How do you travel to town-owned facilities or buildings?
5. Which of the situations listed below make it most difficult for you, or a household member, to navigate a sidewalk and curb ramp? Select all that apply.
6. Are there particular issues with roads, sidewalks, or parking lots not listed or that should be prioritized? If yes, please provide details below.
7. Do you participate in any town programs or activities? (e.g. summer parks and recreation programs, HYFS event, town board and committee meetings, etc.)
8. If you have you, or a household member, encountered any barriers to participating in a town program or activity, please describe the situation in the box below.
9. Have you, or a household member, encountered any lighting issues that make buildings, trails, roads, or sidewalks less accessible? If so, please provide some details.
10. Do you, or a household member, use a wheelchair?
11. Do you, or a household member, use a walker, crutch, or any other mobility aid?
12. Do you, or a household member, have impaired vision?
13. Do you, or a household member, have impaired hearing?
14. If you, or a member of your household, require regular prescription medications, how accessible are those prescriptions to get in a timely manner?
15. Which of the situations listed below make it most difficult to navigate a traffic signal?
16. Have you found any seasonal-related accessibility issues (ex. snow, ice, leaves, etc.)? If yes, please provide details.
17. If you, or a household member, utilize Hopkinton's parks and trails, please share any accessibility issues you have encountered.
18. Do you have other accessibility concerns or questions for the Commission on Disability?