|
| Gender
*
| Male
Female
Transgender
|
| Age
*
|
|
| Location (City and state)
*
|
|
| Do you have a disability?
*
| Yes
No
Not sure
|
| What is your disability?
|
|
| Were you born with your disability or did you acquire it later in life?
|
|
| Why do you think non-disabled people may be reluctant to interact with people who have disabilities?
|
|
| What sort of things do non-disabled people do or say that really aggravate you?
|
|
| Tell me about your relationship with your family. What, if anything, would you change?
|
|
| Tell me about your friendships. What, if anything, would you change?
|
|
| Do you work?
| Yes
Never
Not currently
|
| Tell me about your relationships with your coworkers. What, if anything, would you change?
|
|
| The unemployment rate for people with disabilities is 64%, which is almost two and a half times higher than the national average. Why do you think that is?
|
|
| Are you / Have you ever been:
| Married/Partnered
Single
Involved/committed
|
| If Married/partnered, or involved/committed: Tell me about your relationship with your spouse/partner. What, if anything, would you change? AND: How do you think your disability affected your relationship, if at all?
|
|
| IF SINGLE: Tell me what you find challenging about dating with a disability. What are the pros and cons of dating as someone with a disability? Would you yourself date someone with a disability? Why or why not?
|
|
Tell me about your sex life. What do you think people without disabilities should know about sexuality and disability?
AND: Describe the pros and cons of disabled sex.
|
|
| What advice would you give to other people with disabilities who want to improve their quality of life (i.e. … work, friends, dating, sex, marriage, family, etc.)
|
|
| Would you like to share more? Questions? Comments? Please leave us your email address and we will be sure to get in touch!
|
|
|
|