A scene of people with various disabilities gathered around a blue lake, enjoying their home, community, the out-of-doors, health, recreation, housing, transportation and education with an accessible path for them to a high mountain and large yellow sun on the horizon.  New Horizons Un-Limited Inc.


NHU Questionnaire


"By learning, you will teach; by teaching, you will learn."

-Latin Proverb


New Horizons Un-Limited Inc. (NHU) is a learning organization. We take the time to learn, so we may teach others. It is our intent to share information with everyone. Learning helps us grow!

You can help! Take the time now to answer our questionnaire below. We are committed to serving the needs of our visitors. Any information you can provide us through this questionnaire will help us better serve our visitors and the community.


All personal information you provide to us will be kept strictly confidential. It is our policy to insure that names and addresses will not be given out to additional organizations. We do reserve the right to mention in our website, in general terms and anonymously, answers to this questionnaire, postings on the NHU Community Forum, and information sent to us by e-mail.

It is not necessary to answer every question, but it would help us greatly if you could answer as completely as possible.


Tell us about yourself (*required):

*Your Name

*E-mail Address

Street

City

*State

Zip Code

1. How would you classify yourself?

For example, a person with a disability, a caregiver, a concerned friend or relative.

2. What is your age group?

For example, 18 or under, 19-35, 35-55 or 55 or older

3. Do you own a computer?

4. What is the highest level of education you have achieved?

For example, elementary, high school, trade school, some college, undergraduate degree, graduate school, etc.

5. Do you currently live with family members or do you live independently?

6. Who helps you when you need assistance?

7. In what type of housing do you live?

For example, a house, an apartment, assisted living facility, nursing home, group home, government-subsidized housing, etc.

Tell us about your Interests and Experiences:

8. What types of disabled issues concern you the most, or what is your greatest need?

9. What information or services would help you the most?

10. Do you belong to any support groups or similar organizations? If so, please list which ones.

11. Do you feel that your local community offers appropriate programs and/or an adequate support system?

12. Which individuals, publications, Internet websites, or community resources have benefited you the most?

13. What advice can you offer to benefit others who have similar experiences?

14. Please explain some of the obstacles you have been facing, either at home, at work, or in your community.

15. Do you use any specific adaptive technology in your daily life that you have found to be particularly helpful? If so, please explain what products you use.

16. Do you have information regarding recent legislation (locally or nationally) that affects individuals with disabilities? If so, please tell us more about the legislation.

Feedback:

17. How did you learn about our website?

18. Do you know any isolated individuals who might benefit from the information we provide on our website, but do not have access to the Internet? (Yes or No)

19. After visiting the site, are there other issues you feel NHU needs to address?

20. While browsing our website, do you have any suggestions on how we can make our website more beneficial to our visitors?

21. Is there anything else you would like to say to NHU or the community?


If you have questions or ideas, information and solutions that you would like to share with us, contact us by e-mail at: horizons@new-horizons.org or to use our NHU E-Mail Form or NHU Community Discussion Board, click the links below.

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© Copyright 2005, 2011 New Horizons Un-Limited Inc.
[Updated October 31, 2011]
NHU has no liability for content or goods on the Internet.