Emmaus Homes Advocacy Experience Survey Question Title * 1. I am a/an (check all that apply): Self-Advocate Emmaus Homes Client Family Member of an Emmaus Homes Client Emmaus Homes Direct Support Professional (DSP) Emmaus Homes Staff (Not a DSP) Board Member Other (please specify): Question Title * 2. How often have you participated in past advocacy efforts with Emmaus Homes (for example, writing to legislators, attending Disability Legislative Rights Day in Jefferson City, etc.)? Often Sometimes Never Question Title * 3. How often have you participated in past advocacy efforts with other organizations or as an individual (writing to local/state/federal representatives, speaking at a City Council or Board of Education Meeting, writing a letter to the editor, etc.)? Often Sometimes Never Question Title * 4. Would you ike to participate in more advocacy efforts with Emmaus Homes? Yes No Question Title * 5. What advocacy trainings or events might you be willing to attend? (Check all that apply) Coffees for Change (small gatherings in local communities where we learn about advocacy and invite elected officials, on occasion, to get to know us) Disability Rights Legislative Day at the Capitol in Jefferson City (a rally that brings together people with disabilities and those who support them from across the state) Short trainings ONLINE to become a more effective advocate Short trainings IN PERSON to become a more effective advocate Other (please specify): Question Title * 6. I have a close relationship with one or more of my LOCAL (city/town) elected officials. Yes No Question Title * 7. If you answered YES to having a close relationship with one of your LOCAL elected officials, please list their names here: Question Title * 8. Would you be willing to connect Emmaus Advocates to this LOCAL elected official(s)? Yes No None of the above Question Title * 9. I have a close relationship with one or more of my COUNTY elected officials. Yes No Question Title * 10. If you answered YES to having a close relationship with one of your COUNTY elected officials, please list their names here: Question Title * 11. Would you be willing to connect Emmaus Advocates to this COUNTY elected official(s)? Yes No None of the above Question Title * 12. I have a close relationship with one or more of my STATE elected officials (State Representative or State Senator): Yes No Question Title * 13. If you answered YES to having a close relationship with one of your STATE elected officials, please list their names here: Question Title * 14. Would you be willing to connect Emmaus Advocates to this STATE elected official(s)? Yes No None of the above Question Title * 15. I have a close relationship with one or more of my FEDERAL elected officials (US Senator or US House of Representatives Member). Yes No Question Title * 16. If you answered YES to having a close relationship with one of your FEDERAL elected officials, please list their names here: Question Title * 17. Would you be willing to connect Emmaus Advocates to the FEDERAL elected official(s)? Yes No None of the above Question Title * 18. If there was one issue that we could support you with in terms of advocacy, what would it be? Question Title * 19. I use the following Social Media apps: Twitter/X Facebook Instagram TikTok LinkedIn Other (please specify) None of the above Question Title * 20. Name (First and Last): Question Title * 21. Email Address: Done