PLB Needs Assessment

The code block below illustrates how one might use # and // as comments in your logic and calculations.

This value you provided is not a number. Please try again.

This value you provided is not an integer. Please try again.

The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

The value you provided is outside the suggested range

This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

8skCeo6Q25n758Fwgf7yQZARYtNnAawYEzXDB96JwZ5YNHWJqYcgXrVhF6zPMvN58h5mVp2pGbzFHXIDas4LakHdsWZonUPJIfC93GbtHHMdN

Returning?

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2017 Consumer Needs Assessment Survey

Thank you for participating in the Productive Living Board's (PLB) 2017 Needs Assessment Survey. This survey provides you with an opportunity to advise the PLB on your current and future need for supports.

Instructions

1) Please answer all of the questions on this survey about the individual who receives supports and services. This survey should take 15-20 minutes to complete.

2) If you need to stop taking the survey and finish later, please select the "Save & Return Later" button at the end of each page. You will receive a code that you can write down and enter at the top right hand corner of this page entitled "Returning?" once you return to the survey.

3) If you would like the text to speech functionality turned on select "enable speech" at the top right hand corner of the page.

4) The "reset" option on each question allows you to clear or erase your response for that question.

5) If you have any questions about this survey, including how to complete the survey, please contact George Gotto at (816) 235-5334 or gottog@umkc.edu

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.