Bloomington 2023 Mayoral Candidates Forum: Disabilities, Accessibility, and Inclusion

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This form is now closed.

Question Submission Form. If you have a question, please submit and answer the questions below. We would like for people with many different kinds of disabilities to ask questions to show a broad representation of people with disabilities. We would like questions to focus on issues you have with accessibility and inclusion. Think about places or times when locations or services haven't worked for you and what you would like to know in terms of what our mayoral candidates might do about it.

My question is... *

My disability is... *

I'm in a wheelchair

I'm blind or have low vision

I'm deaf or hard of hearing

I have a Traumatic Brain Injury

I have a developmental or intellectual disability

I'm neurodivergent

I'm an advocate/caregiver for a person with a disability

Other:

I want to explain my "Other" answer above...

I am a... *

Stone Belt client

Council for Community Accessibility member

Other:

I want to explain my "Other" answer above...

My name is... *

My e-mail address is... *

My phone number is... *

I want to ask my question... *

In person

on Zoom

I need someone to ask my question for me

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of City of Bloomington, Indiana. Report Abuse

Forms