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California Independent Living Needs Assessment

This survey will help us assemble information on the independent living needs of Californians with disabilities for the State Independent Living Council and the Department of Rehabilitation. Your responses will be confidential and will be reported without references to individuals.

Complete this survey only if

  • You have a disability, or you have a family member who has a disability, and
  • You live in California

Begin the survey

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Survey by email?
Survey in PDF?
Please see below!

Download a PDF version of the survey (English)
PDF en Español
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