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Americans with Disabilities Act (ADA) Program and Facility Users Survey

  1. The City is seeking input from agencies, organizations, and individuals with disabilities to help the City enhance accessibility to its facilities, programs, services and events. The City of Temecula is in the process of preparing their ADA Self Evaluation and Transition Plan which is required by Americans with Disabilities Act (ADA) Title II (28 CFR §35.105(a)). Your input will assist the City in improving its ability to serve the needs of people with disabilities and their families.

  2. For any questions, please call: 951-308-6367. Thank you for your time and consideration.

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  10. 1. What is your relationship to the City of Temecula?*

  11. 2. Check all program, services or activities in which you participate at the facility.*

  12. 3. Do you know who to contact if you need assistance, have a concern or complaint, or need an accommodation to access a facility, program, service or event:*

  13. 4. Have you ever requested an accommodation for a disability from the City?*

  14. If an accommodation was requested, was your request for accommodation made by the City?

  15. 5. Have you requested auxiliary aids, an interpreter or specialized equipment?*

  16. Was your request for accomodation made by the City?

  17. 6. Is information provided regarding accommodations, auxiliary aids (such as assistive listening systems, interpreters, alternate formats, specialized equipment, or assisted services, etc.)?*

  18. 7. Have you experienced any nonaccessible areas or programs?*

    (Examples: no accessible parking spaces, difficulty reaching an accessible entrance, steep ramps, uneven sidewalks, stairs only to the facility, narrow doorways, protruding objects in the hallways, lack of assistive devices, missing or inappropriate signage, lack of interpreters, etc.)

  19. 8. Are you aware of any areas or elements of the facility that are not accessible to individuals with disabilities?*

  20. 9. Are you aware of any programs, services or activities that are not accessible to individuals with disabilities?*

  21. 10. Have you attended any special events at the City?*

  22. If yes, did you encounter and non accessible areas?*

  23. 11. Is accessible seating provided for individuals with disabilities at meetings, classes, programs, etc. held at the facility?*

  24. 12. Has the attitude of the staff of the City of Temecula towards you, or someone you know with a disability, been generally helpful, supportive, positive and proactive I solving accessibility issues?*

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  26. This field is not part of the form submission.