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* 1. I am (choose all that apply):

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* 2. I am (choose all that apply)

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* 3. Your Parish

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* 4. Priority 1: Home and Community-Based Services

Goal 1: Ensure that people with disabilities have access to necessary healthcare and long-term supports and services that will allow them to remain in their homes or return to their home communities.

Goal 2: Ensure that people with disabilities who are waiver recipients have appropriate home and community-based services that meet their needs.

With respect to this priority, do you think that the goals above accurately reflect the needs of people in Louisiana?

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* 5. Which of these items related to Home and Community-Based Services is most important to you?

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* 6. Are there any other issues related to Home and Community-Based Services that we should be addressing?

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* 7. Priority 2: Accessibility

Goal: Eliminate barriers related to physical and programmatic access with respect to critical programs, services, housing and transportation.

With respect to this priority, do you think that the goal above accurately reflects the needs of people in Louisiana?

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* 8. Which of these items related to Accessibility is most important to you?

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* 9. Are there any other issues related to Accessibility that we should be addressing?

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* 10. Priority 3: Autonomy

Goal: Eliminate barriers to exercising autonomy and promote practices and policies that allow for enhanced independence and self-determination.

With respect to this priority, do you think that the goal above accurately reflects the needs of people in Louisiana?

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* 11. Which of these items related to Autonomy is most important to you?

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* 12. Are there any other issues related to Autonomy that we should be addressing?

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* 13. Priority 4: Economic Mobility and Financial Self-Sufficiency

Goal 1: Adults with disabilities in day habilitation and sheltered work programs are given opportunities to engage in competitive employment.

Goal 2: Ensure that people with disabilities have access to information, advice and representation in the area of rehabilitation services.

Goal 3: Ensure that beneficiaries of social security are not subjected to employment discrimination.

Goal 4: Ensure that students with disabilities have access to Louisiana Rehabilitation Services (LRS), particularly related to LRS transition obligations under Workforce Investment and Opportunities Act (WIOA).

Goal 5: Ensure that beneficiaries of Social Security have access to South Louisiana Benefits Planning Program (SLBPP).

Goal 6: Ensure that people with disabilities have pathways out of poverty.

With respect to this priority, do you think that the goal above accurately reflects the needs of people with disabilities in Louisiana?

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* 14. Which of these items related to Economic Mobility and Financial Self-Sufficiency is most important to you?

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* 15. Are there any other issues related to Economic Mobility and Financial Self-Sufficiency that we should be addressing?

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* 16. Priority 5: Voting

Goal 1: Elimination of barriers to voting and increased knowledge of voting rights.

Goal 2: Educate potential policy makers about the needs of individuals with disabilities.

With respect to this priority, do you think that the goals above accurately reflect the needs of voters with disabilities in Louisiana?

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* 17. Which of these items related to Voting is most important to you?

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* 18. Are there any other issues related to Voting that we should be addressing?

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* 19. Priority 6: Rights Protection/Institutions

Goal 1: Ensure that the rights of people with disabilities living in institutions, residential facilities, jails, prisons and/or detention centers are protected and enforced, and that they are able to live in adequate and humane conditions, are able to access services in the community, and able to exercise autonomy to the maximum extent possible.

Goal 2: Correct egregious conditions of neglect or abuse in all institutional type settings.

Goal 3: Ensure that people living in nursing homes are able to obtain and or preserve Medicaid services.

With respect to this priority, do you think that the goals above accurately reflect the needs of institutionalized people in Louisiana?

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* 20. Which of these items related to Rights Protections in Institutions is most important to you?

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* 21. Are there any other issues in the area of Rights Protection/Institutions that we should be addressing?

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* 22. Priority 7:  Accessible Affordable Housing 

Goal 1: Improve housing options for people with disabilities.

Goal 2: assist people with disabilities in maintaining their community-based housing.

Do you think that the goals above accurately reflect the housing needs of people with disabilities in Louisiana?

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* 23. Are there any other issues in the area of Accessible Affordable Housing that we should be addressing?

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* 24. Priority 8: Strengthening Protections for Beneficiaries of Social Security

Goal: Ensure the rights of social security beneficiaries are protected from abuse and exploitation.

With respect to this priority you think that the goal above accurately reflects the needs of people with disabilities in Louisiana?

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* 25. Are there any other issues in the area of Strengthening Protections for Beneficiaries of Social Security that we should be addressing?

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* 26. Priority 9: Education

Goal 1: Reduce incidences of inappropriate discipline and illegal exclusions from public schools.

Goal 2: Obtain appropriate transition services.

Goal 3: Ensure educational access.

With respect to this priority, do you think that the goals above accurately reflect the needs of students with disabilities in Louisiana?

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* 27. Which of these items related to Education is most important to you?

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* 28. Are there any other issues in the area of Education that we should be addressing?

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* 29. Have you ever used Disability Rights Louisiana's services? If you have used DRLA's services, were you satisfied?

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* 30. Conclusion - describe any legal issues not included in our survey that you are concerned about:

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