Language Access Services Online Intake Form
This information is required to be reported in our agency's Language Access Plan (LAP) to ensure compliance with Nevada Senate Bill 318 and federal civil rights law.
1.
What is your preferred language?
2.
Were you able to access this website's resources efficiently?
Yes
No
Other (please specify)
3.
Were there any resources that you were not able to access on this site?
Yes
No
Other (please specify)
4.
Which NSCB resource did you access on your visit?
5.
What is the highest level of education that you completed?
High School Diploma or Equivalent (GED)
Some College - No Degree
Associate Degree
Bachelor's Degree
Master's Degree
Professional Degree (e.g., MD, JD)
Doctorate Degree (PhD)
Prefer not to say
Other (please specify)
6.
Please describe your race/ethnicity/ how you self-identify?
7.
Do you have any comments, suggestions or complaints regarding NSCB's available language access services?