Fillable Greene County, Georgia (Greene County Board of Commissioners)

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Greene County, Georgia (Greene County Board of Commissioners)

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BROWSE GREENE COUNTY BOARD OF COMMISSIONERS (GA) FORMS

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Greene County, Georgia
Public Accessibility Survey
Greene County Government Facilities
Date completed: , 20
Optional Information (Name, Address, Telephone, e-mail)
Facility or Service being commented about:
Please answer the following questions. You may indicate you response as follows:
Y – Yes N – No DK – Don’t Know NA – Not Applicable or write your response in
the Comments box. We also encourage you to provide any additional comments to
clarify your answer to these questions.
Question Y N DK
NA
Comments
1. Are you a Community
Member/ Employee/ Visitor/
Contractor/Participant of a
program, Service, or Activity?
2. Programs or activities in
which you participate (please
note all that apply) – Meetings/
Classes/ Work
(Volunteer)/Work(Employee)/
Recreation/ Sporting Events/
Other (describe)
3. Have you ever requested an
accommodation for a disability
from the County? If an
accommodation was requested,
was your accommodation made
by the County?
4. Have you experienced any
exterior barriers, non-accessible
areas, or non-accessible
programs (i.e.: no accessible
parking spaces, difficulty
reaching an accessible
entrance, steep ramps, uneven
sidewalks, etc.)?
Question Y N DK
NA
Comments
5. Have you experienced any
interior barriers, non-accessible
areas, or non-accessible
programs inside a Greene
County facility? (i.e.: stairs only
to the facility, narrow doorways,
protruding objects in the
hallways, lack of assistive
devices, missing or
inappropriate signage, lack of
interpreters, etc.)
6. Is accessible seating
provided for individuals with
disabilities at programs,
community events, etc. held at
Greene County facilities?
7. Are you aware of any
programs, services, or activities
that are not accessible to
individuals with disabilities?
8. Are you aware of any areas
and elements of any Greene
County facility that are not
accessible to individuals with
disabilities?
9. Is information provided
regarding accommodations,
auxiliary aids (such as assistive
listening systems, interpreters),
alternate formats, specialized
equipment, or assisted services,
etc.?
10. Is there adequate directional
and informational signage
provided at County facilities?
11. If you have requested
auxiliary aids, an interpreter, or
specialized equipment, was
your request accommodated?
12. Do you know who to contact
to request accommodations for
yourself, a relative, or a friend
with a disability?
13. Is the attitude of Greene
County (or its employees)
towards you, or someone you
know with a disability, generally
helpful, supportive, positive, and
proactive in solving accessibility
issues?
Mail completed survey to: Greene County Board of Commissioners
ADA Coordinator
1034 Silver Drive, Suite 201
Greensboro, GA 30642
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Greene County, Georgia (Greene County Board of Commissioners)

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Completed 9 August 2020

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