City of Rocklin Americans with Disabilities Act (ADA) Community Survey
1.
I am a (please check all that apply)
Person with a disability
Family member, friend, or caregiver of a person with a disability
Employed or volunteer at an organization that provides services to people with disabilities
Merchant or businessperson
Resident of Rocklin
Employed with the City of Rocklin
I do not work or live in the City of Rocklin, but I visit sometimes
Other (please specify)
2.
How would you rate the overall accessibility of the City of Rocklin for people with disabilities?
Very Good
Good
Fair
Poor
Very Poor
3.
Within the City of Rocklin, have you experienced any barriers, areas that are not accessible, or feel you are unable to participate in programs or activities because they are not accessible?
Yes
No
Not Applicable
Unsure
If yes, please explain location, program, or physical barrier:
4.
Have you ever experienced any physical barriers (parking, ramps, restrooms, accessibility) while visiting any Rocklin parks or playgrounds?
Yes
No
Not Applicable
Unsure
If yes, please explain location or physical barrier:
5.
Have you ever experienced any physical barriers (parking, ramps, restrooms, accessibility) while visiting any City of Rocklin facilities (City Hall, Police Department, Fire Stations, Public Works Building, Parks & Recreation Buildings)?
Yes
No
Not Applicable
Unsure
If yes, please explain location or physical barrier:
6.
Are the sidewalks and pedestrian pathways in your neighborhood accessible and safe for travel for people with mobility challenges?
Yes
No
Somewhat
If no or somewhat, please explain location or physical barrier:
7.
Do you encounter any issues with curb ramps, crosswalks, or pedestrian signals in the City of Rocklin?
Yes
No
If yes, please describe location and physical barrier:
8.
Have you experienced any barriers to accessing City services or events due to a disability?
Yes
No
If yes, please describe:
9.
Do you know whom to contact at the City of Rocklin to request an accommodation or discuss accessibility for a facility, program, service, or activity?
Yes
No
Not Applicable
Unsure
10.
Have you ever contacted the City’s ADA Coordinator to report a physical barrier or accessibility issue?
Yes
No
If yes, was your issue addressed?