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21%
Hello:
You are invited to participate in our survey to gather demographic information on people with disabilities who have been put on waiting lists for home services through Medicaid, or who have been denied Medicaid outright.
Even if you or the individual you are caring for is no longer on a waiting list, your information is still extremely important to us.
Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential.
Thank you very much for your time and support. Please start the survey by checking the "I agree" box below.
Summer Harrison
Children's Disability Rights Education Association
www.childrensdisabilityrights.org
I agree
The present age of the individual with disabilities is:
-- Select --
0-3
4-18
19-20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60-65
Please tell us your relationship to the person with the disabilities.
I am the person with disabilities and I am on a waiting list for home services.
I am the parent or family caregiver of a person with disabilities on a waiting list
I am the parent or family caregiver of a person with disabilities who has been denied Medicaid.
I am a paid caregiver for an individual on a waiting list
Other
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