American Red Cross, Mile High Chapter

Shelter Disabilities Accommodation Questionnaire

The purpose of this questionnaire is to determine if disabled persons were turned away from Red Cross shelters within the last 5 years. In this context disabled include persons needing special accommodation due to limitations of: mobility, hearing or speech, vision, cognition, age, language, or medical support and supervision. This information will be used only for future shelter planning, staffing and personnel training. It will NOT be used for evaluation of individual managers, staff or volunteers. For the name of the shelter give the short facility name followed by a comma and the last two digits of the year, i.e. "Lamar,10". For the location give only the city, state code, i.e, "Boulder, CO" For details click each checkbox that applies. This is an anonymous submittal, and cannot be traced to any individual.