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4. VILLAGE OF ROMEOVILLE
6. ADA TRANSITION PLAN PUBLIC SURVEY
8. Description:
   The Village of Romeoville is conducting an Americans with Disabilities Act Self-Evaluation and Transition Plan to determine steps to ensure inclusion and access for people with disabilities.
   Your feedback will help the Village develop an ADA Transition Plan that will guide the planning and implementation of future program and facility modifications.
   
   Note: In this context, “accessibility” means “your access to Village properties, services, programs in existing buildings and for equitable participation in Village programs, services and activities.
12. Street Accessibility

    What areas do you think the Village needs improvements? (Select all that apply)

    1. Accessible pedestrian pathways, sidewalks or curb ramps
    2. Accessible signage and wayfinding assistance

    1. Street and crosswalk signals
    2. None
14. What suggestions do you have?
16. Facilities, Bus Stops, Parking Accessibility:

    What areas do you think need improvements? (Select all that apply)

    1. Access at parks/common areas, including play areas, restrooms, trails
    2. Accessible parking near city facilities where services are provided
    3. Bus stop access
    4. On-street accessible parking downtown and at neighborhood parks
18. What suggestions do you have?
20. Programs and Services

    What areas do you think need improvements? (Select all that apply)

    1. Inclusion programs and services offered by the Village
    2. Accessible amenities at Village facilities: doors, bathrooms, service counters
    3. Recreation, wellness, fitness programs and facilities
    4. Accessible housing and home modification support
22. What suggestions do you have?
24. Community Services and Facilities

    What type of classes or resources might you find helpful? (Select all that apply)

    1. Safety and security
    2. Education and training
    3. Employment services

    1. Caregiver and peer support
    2. Digital accessibility (website)
26. What suggestions do you have?
28. Physical Access Improvents
    Which should be the highest priority to improve physical access in the Village of Romeoville? (Please rank: 1-7 with 1 as the most important.)
30. Sidewalks
    -- Select One -- 7 6 5 4 3 2
31. Parking
    -- Select One -- 7 6 5 4 3 2 1
32. Curb Ramps
    -- Select One -- 7 6 5 4 3 2 1
33. Parks
    -- Select One -- 7 6 5 4 3 2 1
35. Bus Stops
    -- Select One -- 7 6 5 4 3 2 1
36. Traffic Signals
    -- Select One -- 7 6 5 4 3 2 1
37. Trails
    -- Select One -- 7 6 5 4 3 2 1
39. Communication

    What are the most effective ways to publicize information on the upcoming events, announcements, projects, or general information about the ADA Transition Plan? (Select all that apply)

    1. Social Media
    2. Press Release
    3. Email Notifications
    4. Emails to disability groups

    1. Romeoville ADA web page
    2. Brochures
    3. Public Meetings
    4. Other
41. Training

    Do you think there are areas where ADA and disability sensitivity training are needed?

    1. Yes

    1. No
45. Tell Us About You
47. I am related to an individual that has functional needs or disabilities affecting: (Mark all that apply)

    1. Walking
    2. Hearing
    3. Vision
    4. Moving

    1. Breathing
    2. Working
    3. Thinking
49. I am a Romeoville resident:

    1. Yes

    1. No
50. What zip code do you live in?
52. My Age:

    1. Under 18
    2. 18-24
    3. 25-34
    4. 35-44

    1. 45-54
    2. 55-64
    3. 65+
53. I am a Veteran:

    1. Yes

    1. No
55. I would like to be contacted by a Village of Romeoville staff member.

    1. Yes

    1. No
56. If yes, please provide phone number and address:
Leave This Blank:


58. 1. Receive an email copy of this form.
59. Email address

    This field is not part of the form submission.

60. Submit

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