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Tell Us about Yourself

We want to learn more about the needs of the people with developmental disabilities and their families in our community. Help us get to know you better by completing the attached survey. Your information will remain completely confidential and will help us improve the way we serve our constituents in Spokane.

We look forward to hearing from you!

* First Name:
* Last Name:
Address:
City:
State:
Zip:
Phone:
* E-Mail:

Please add me to your newsletter mailing list

Choose One:
I am a person with a developmental disability
I am a parent or guardian of someone with a developmental disability
I am related to someone with a developmental disability
I am a professional in the field of developmental disabilities
I am a neighbor, friend, employer or concerned citizen

Choose One:
I am younger than 35
I am 35 to 65 years old
I am 65 or older

In your experience,what is the most pressing daily need for people with developmental disabilities and their families?

What Arc programs do you or your family participate in?
Advocacy
Family Support
The ARC Community Center
Supported Employment
Financial Management
Residential Support
None of the Above

Do you plan to become a member of The Arc of Spokane or renew your membership?
Yes
No

Why or why not?

Would you consider becoming more involved with The Arc by participating in programs or volunteering?
Yes
No

Why or why not?

If being a member of The Arc included one of the following, which would you find most valuable?
A yearly barbeque with live music and activities for families
Discount rates to hotels and restaurants in the community
Special Rates on life insurance or legal services such as wills, guardianships or trusts
An educational seminar with a renown guest speaker
An event promoting acceptance and understanding for people with developmental disabilities in our community

Other comments or suggestions: