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Contents:
A. Survey for Persons with Disabilities
B. Survey for Mentors and Professionals who have assisted individuals with disabilities,
Survey For Persons With Disabilities
Name: ___________________________
Age: ___________________________
1. What is your dream about where you want to live? (Listen closely - key question).
2. Did you talk to anyone about this, like your family? your friends? people you work with? your staff person?
3. Did they like this idea?
4. Did they say they would help you?
5. What did you think it would be like to live on your own?
6. Before you took the workshops, did you want to rent or buy a home of your own?
7. Did you know what you needed to do to get a place of your own? (Listen closely - key question).
8. Did you know about Section 8 vouchers?
9. Did you know about how to pay for a house?
10. Do you want to live by yourself?
11. What kind of place do you want to live in (give examples)- an apartment, a townhouse, a condo?
12. Where do you want to live? (Give geographic examples if needed)
13. Do you know about what you need for your place? (Give examples if needed - things like furniture, a deposit on an apartment, a down payment).
14. Do you have the money for these things?
15. Do you know that you have to pay for lights, the phone and things like that?
16. Before coming to the Opening Doors workshops, did you have:
A. a credit card in your own name?/Do you have one now?
B. a telephone in your own name?/Do you have one now?
C. your own checking account?/Do you have one now?
D. your own savings account?/Do you have one now?
E. a budget?/Do you have one now?
F. does someone help you with your bills?/Do you have one now?
17. Can you read? Does someone help you?
18. Can you: (Get a sense of how well they can do these)
A. make change?/How do you do it?/Does someone help you?
B. use a key?/Does someone help you?
C. cook?/How do you do it?/Does someone help you?
D. go to the grocery store on your own?/How do you do it?/Does someone help you
19. Did you work with the booklet with the yellow cover with drawings on it, “How To Be A Responsible Tenant?”
20. Did anyone go over it with you?
21. Did you learn anything?
22. Did you read the green booklet given to you at the financial workshop?
23. Did anyone help you go through this booklet?
24. Did you learn how much money you have and how much money you owe?
25. What do you do with your money when you get your check?
26. Do you put money aside for things you need?
27. Do you know that you have to put money aside for:
a. Rent
b. Food
c. Lights
d. Buses
28. Are you saving money every month so your dream of a home of your own will come true?
29. Do you have a plan to get ready for living on your own?
30. Which workshops did you attend: (may need reminders)
a. Introductory Workshop
b. Introductory Money Workshop
c. Individual Money session with Dave Rosenthal
d. Housing counseling
31. What did you learn in the workshops?
32. Did you find out
a. That you had choices about where to live?
b. About how to pay for a home so that you can own it?
c. About Section 8 vouchers?
33. Did you learn about the saving and spending triangle (pyramid)?
34. What did you learn about buying a house?
35. Did you learn that there are things that you have to take care of - like changing light bulbs, getting things fixed if they are broken?
36. A mentor is someone - a relative, a friend, a staff person - who helps you. Who is helping you to get a home of your own?
37. Is that the same person who helps you with
A. Cooking
B. Money
C. Doctors appointments
.
38. Did you like the workshops?
39. Did you ask questions?
40. Is there something you would like to ask now about living in your own home?
41. Was Saturday a good time for you?
42. Was it easy for you to get to the workshop?
43. Was it easy for your mentor to get to the workshops?
44. How did the people who work for the Opening Doors Project help you?
45. Were there other things that you wanted to learn?
46. What do you see for yourself now that you’ve been to the Opening Doors workshops?
1. How did you learn about the Opening Doors Project? What other methods might be effective in reaching agencies or individuals with developmental disabilities to participate in this process?
2. How many individuals from your agency were contacted about participation in the Opening Doors Project? What stages of the process did they complete?
#
Contacted but attended no workshops ______
Attended the Introductory Workshop ______
Attended the Introductory Financial Workshop ______
Attended the Individual session with the Financial Planner ______
Attended housing counseling ______
Moved to independent rental/home ownership situation ______
3. How were the individuals who participated in the Opening Doors Project selected and notified about the process.
4. What were your hopes and expectations for your participation in the Opening Doors Project for yourself? For those with whom you work? Were those hopes and expectations met?
5. What obstacles did you encounter as you and your consumers progressed through the process? Some examples might include agency philosophy, family resistance, lack of mentors, lack of understanding of self-determination principles, information not reaching the appropriate personnel, etc. How could the Opening Doors staff assist in overcoming these barriers? What other needs/issues should be addressed?
6. Was the Opening Doors Project helpful in assisting you and those you serve in becoming more aware of the options available for self-determined housing? Examples would include information about renting vs. home ownership, the availability of Home Choice (Section 8) vouchers and mortgage products. What other things could be of assistance to you?
7. Did the Opening Doors Project help clarify individual goals, i.e. to understand what options might be realistic and what might need to be a long-term goal?
8. Was the Opening Doors Project helpful in clarifying the process of becoming a home owner?
9. Please rate the various components of the Opening Doors Project:
Publicity/Outreach
1 2 3 4 5 0
Excellent Good Average Fair Poor Don’t Know/Did not attend
Comments:
Mentor Workshop
1 2 3 4 5 0
Excellent Good Average Fair Poor Don’t Know/Did not attend
Comments:
Introductory Workshop
1 2 3 4 5 0
Excellent Good Average Fair Poor Don’t Know/Did not attend
Comments:
Introductory Financial Workshop
1 2 3 4 5 0
Excellent Good Average Fair Poor Don’t Know/Did not attend
Comments:
Individual Financial Session with the Financial Planner
1 2 3 4 5 0
Excellent Good Average Fair Poor Don’t Know/Did not attend
Comments:
Housing Counseling
1 2 3 4 5 0
Excellent Good Average Fair Poor Don’t Know/Did not attend
Comments:
Workshop For Professionals
1 2 3 4 5 0
Excellent Good Average Fair Poor Don’t Know/Did not attend
Comments:
Publications (The Opening Doors Brochure, How to Be A Responsible Tenant, Achieving Financial Success, Developing Coalitions at the Local and State Levels
1 2 3 4 5 0
Excellent Good Average Fair Poor Don’t Know/Did not attend
Comments:
10. What, if anything, would you change about the workshops? What was least helpful?
11. Were the days and times of the workshops convenient for you? For those with whom you work?
12. In addition to providing information directly to service providers and individuals with developmental disabilities, the Opening Doors staff made efforts to influence policy regarding housing issues as they relate to persons with developmental disabilities. What efforts were you aware of? How successful do you feel these efforts were? Advocacy efforts included testimony before the State Legislature and HOC staff, improving relations with HOC staff and participating on a variety of committees.
13. How was the Opening Doors staff helpful to you? What other things could be done to facilitate the process for you and your consumers?
14. Are there any other comments that you would like to add?