Survey - Section 504 Self-Evaluation Survey

Section 504 Webinar Survey on Providing Feedback for Individuals with Mental or Cognitive Impairments

1. How can we improve the following ways we communicate with individuals who have mental or cognitive impairments when we are communicating with them:

   1. Face to face

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2. Over the Internet

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3. By telephone

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4. In our printed materials

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2. How can we improve our policies so that we effectively communicate with individuals who have mental or cognitive impairments?

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3. Please tell us about national organizations that provide communication assistance free of charge to individuals with mental or cognitive impairments.

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4. Do you think there should be additional webinars regarding Section 504?

   1. If so, on what topic(s) would you like to see a future webinar?

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2. If not, is there a better way for you to share information with us?

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5. How would you rate the following aspects of the webcast?

   1. Use of a webcast to present this type of information?

Excellent, good, fair, poor

2. Overall value of the webcast to you?

Excellent, good, fair, poor

3. Clarity of information provided?

Excellent, good, fair, poor

OMB Number: 0960-0788

Paperwork Reduction Act Statement

This information collection meets the clearance requirements of 44 U.S.C. § 3507, as amended by Section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget control number. We estimate that it will take about 10 minutes to read the instructions, gather the facts, and answer the questions. You may send comments on our time estimate to SSA, 6401 Security Blvd., Baltimore, MD 21235-6401.

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