{"id":641,"date":"2018-12-06T15:55:51","date_gmt":"2018-12-06T21:55:51","guid":{"rendered":"https:\/\/web.saumag.edu\/testing\/?page_id=641"},"modified":"2025-02-17T09:10:32","modified_gmt":"2025-02-17T15:10:32","slug":"survey","status":"publish","type":"page","link":"https:\/\/web.saumag.edu\/testing\/disability-support-services\/survey\/","title":{"rendered":"Disability Support Services Survey"},"content":{"rendered":"<p>The Disability Support Services department at Southern Arkansas University is conducting a survey to further gain information regarding services we provide our students.\u00a0 Our goal is to provide quality, accessible programs and services, and ensure that all students with disabilities have equal access to realize their full potential. With your feedback, we will have a better understanding of what areas need improvements and how we can better assist our students. Please take a few minutes and complete the following questions about Disability Support Services.<\/p>\n<p>Completion of this survey indicates voluntary consent to participate. Participant identification information will be confidential and destroyed after the report is complete. Data from surveys will be compiled into a yearly report.<\/p>\n<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 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gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_1'>\n\t\t\t<div class='gchoice gchoice_4_1_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_1' type='radio' value='gsurvey1f13c5ac7'  id='choice_4_1_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_1_0' id='label_4_1_0' class='gform-field-label gform-field-label--type-inline'>Incoming (new student)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_1_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_1' type='radio' value='gsurvey11d23ee1c'  id='choice_4_1_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_1_1' id='label_4_1_1' class='gform-field-label gform-field-label--type-inline'>1st year<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_1_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_1' type='radio' value='gsurvey19fa588d4'  id='choice_4_1_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_1_2' id='label_4_1_2' class='gform-field-label gform-field-label--type-inline'>2nd year<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_1_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_1' type='radio' value='gsurvey11289d3a9'  id='choice_4_1_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_1_3' id='label_4_1_3' class='gform-field-label gform-field-label--type-inline'>3rd year or more<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_4_2\" class=\"gfield gfield--type-survey gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" ><legend class='gfield_label gform-field-label' >Your educational goal<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_2'>\n\t\t\t<div class='gchoice gchoice_4_2_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_2' type='radio' value='Complete course and not pursue a degree or certificate'  id='choice_4_2_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_2_0' id='label_4_2_0' class='gform-field-label gform-field-label--type-inline'>Complete course and not pursue a degree or certificate<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_2_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_2' type='radio' value='Complete a certificate program'  id='choice_4_2_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_2_1' id='label_4_2_1' class='gform-field-label gform-field-label--type-inline'>Complete a certificate program<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_2_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_2' type='radio' value='Complete an Associate&#039;s (A.A. or A.S.) degree'  id='choice_4_2_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_2_2' id='label_4_2_2' class='gform-field-label gform-field-label--type-inline'>Complete an Associate's (A.A. or A.S.) degree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_2_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_2' type='radio' value='Plan to transfer to a 4-year college or university'  id='choice_4_2_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_2_3' id='label_4_2_3' class='gform-field-label gform-field-label--type-inline'>Plan to transfer to a 4-year college or university<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_2_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_2' type='radio' value='Complete a baccalaureate program (B.S., B.A. or equivalent) at SAU'  id='choice_4_2_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_2_4' id='label_4_2_4' class='gform-field-label gform-field-label--type-inline'>Complete a baccalaureate program (B.S., B.A. or equivalent) at SAU<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_2_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_2' type='radio' value='Complete a graduate program (M.A., M.B.A. or equivalent) at SAU'  id='choice_4_2_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_2_5' id='label_4_2_5' class='gform-field-label gform-field-label--type-inline'>Complete a graduate program (M.A., M.B.A. or equivalent) at SAU<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_4_3\" class=\"gfield gfield--type-survey gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" ><legend class='gfield_label gform-field-label' >How many times in the past year have you had contact with Disability Support Services?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_3'>\n\t\t\t<div class='gchoice gchoice_4_3_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='gsurvey3d15abe15'  id='choice_4_3_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_3_0' id='label_4_3_0' class='gform-field-label gform-field-label--type-inline'>0 times<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_3_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='gsurvey3da2a7288'  id='choice_4_3_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_3_1' id='label_4_3_1' class='gform-field-label gform-field-label--type-inline'>1 - 2 times<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_3_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='gsurvey3d7a195b5'  id='choice_4_3_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_3_2' id='label_4_3_2' class='gform-field-label gform-field-label--type-inline'>3 - 4 times<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_3_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='gsurvey3ba0bd2df'  id='choice_4_3_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_3_3' id='label_4_3_3' class='gform-field-label gform-field-label--type-inline'>5 or more times<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_4_4\" class=\"gfield gfield--type-survey gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Which of the following reasons did you come to Disability Support Services office during the past year? (Select all that apply)<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_4_4'><div class='gchoice gchoice_4_4_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.1' type='checkbox'  value='Intake interview (to request services)'  id='choice_4_4_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_4_1' id='label_4_4_1' class='gform-field-label gform-field-label--type-inline'>Intake interview (to request services)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_4_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.2' type='checkbox'  value='Update your accommodation plan'  id='choice_4_4_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_4_2' id='label_4_4_2' class='gform-field-label gform-field-label--type-inline'>Update your accommodation plan<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_4_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.3' type='checkbox'  value='Discuss your current classes and\/or problem with classes'  id='choice_4_4_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_4_3' id='label_4_4_3' class='gform-field-label gform-field-label--type-inline'>Discuss your current classes and\/or problem with classes<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_4_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.4' type='checkbox'  value='Discuss future course schedule'  id='choice_4_4_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_4_4' id='label_4_4_4' class='gform-field-label gform-field-label--type-inline'>Discuss future course schedule<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_4_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.5' type='checkbox'  value='Training on assistive technology device or program'  id='choice_4_4_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_4_5' id='label_4_4_5' class='gform-field-label gform-field-label--type-inline'>Training on assistive technology device or program<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_4_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.6' type='checkbox'  value='Referred by instructor or other college personnel'  id='choice_4_4_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_4_6' id='label_4_4_6' class='gform-field-label gform-field-label--type-inline'>Referred by instructor or other college personnel<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_4_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.7' type='checkbox'  value='Other'  id='choice_4_4_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_4_7' id='label_4_4_7' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_4_5\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_5'>Please explain.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_5' id='input_4_5' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_4_6\" class=\"gfield gfield--type-survey gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Which of the following services have you used in connection with Disability Support Services during the past semester? (Select all that apply)<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_4_6'><div class='gchoice gchoice_4_6_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_6.1' type='checkbox'  value='Classroom Accommodations (Tape-recorder\/volunteer note-taker\/preferential seating)'  id='choice_4_6_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_6_1' id='label_4_6_1' class='gform-field-label gform-field-label--type-inline'>Classroom Accommodations (Tape-recorder\/volunteer note-taker\/preferential seating)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_6_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_6.2' type='checkbox'  value='Testing Accommodations (Extended time to complete exams\/ reduced-distraction room\/ reader for exams)'  id='choice_4_6_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_6_2' id='label_4_6_2' class='gform-field-label gform-field-label--type-inline'>Testing Accommodations (Extended time to complete exams\/ reduced-distraction room\/ reader for exams)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_6_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_6.3' type='checkbox'  value='Assistive Technology Device or Program'  id='choice_4_6_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_6_3' id='label_4_6_3' class='gform-field-label gform-field-label--type-inline'>Assistive Technology Device or Program<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_6_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_6.4' type='checkbox'  value='Interpreter\/Captioner'  id='choice_4_6_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_6_4' id='label_4_6_4' class='gform-field-label gform-field-label--type-inline'>Interpreter\/Captioner<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_6_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_6.5' type='checkbox'  value='Alternative format for texts (PDF\/ Daisy Talking Book\/ MP3)'  id='choice_4_6_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_6_5' id='label_4_6_5' class='gform-field-label gform-field-label--type-inline'>Alternative format for texts (PDF\/ Daisy Talking Book\/ MP3)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_6_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_6.6' type='checkbox'  value='Other'  id='choice_4_6_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_6_6' id='label_4_6_6' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_4_7\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_7'>Please list other services.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_7' id='input_4_7' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_4_9\" class=\"gfield gfield--type-survey gfield--input-type-likert field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" ><label class='gfield_label gform-field-label' >How would you rate the effectiveness of accommodations provided?<\/label><div class='ginput_container ginput_container_likert'><table aria-label='How would you rate the effectiveness of accommodations provided?' class='gsurvey-likert' id='input_4_9'><thead><tr><th id='likert_col_1_4_9' scope='col' role='presentation' class='gsurvey-likert-choice-label'>Excellent<\/th><th id='likert_col_2_4_9' scope='col' role='presentation' class='gsurvey-likert-choice-label'>Good<\/th><th id='likert_col_3_4_9' scope='col' role='presentation' class='gsurvey-likert-choice-label'>Fair<\/th><th id='likert_col_4_4_9' scope='col' role='presentation' class='gsurvey-likert-choice-label'>Poor<\/th><th id='likert_col_5_4_9' scope='col' role='presentation' class='gsurvey-likert-choice-label'>No opinion<\/th><\/tr><\/thead><tbody><tr><td data-label='Excellent' class='gsurvey-likert-choice'><input name='input_9' type='radio' value='glikertcol9726200de'  id='choice_4_9_1'    aria-labelledby='likert_col_1_4_9'\/><\/td><td data-label='Good' class='gsurvey-likert-choice'><input name='input_9' type='radio' value='glikertcol9b2225fd9'  id='choice_4_9_2'    aria-labelledby='likert_col_2_4_9'\/><\/td><td data-label='Fair' class='gsurvey-likert-choice'><input name='input_9' type='radio' value='glikertcol95c5d165c'  id='choice_4_9_3'    aria-labelledby='likert_col_3_4_9'\/><\/td><td data-label='Poor' class='gsurvey-likert-choice'><input name='input_9' type='radio' value='glikertcol9a6a2827a'  id='choice_4_9_4'    aria-labelledby='likert_col_4_4_9'\/><\/td><td data-label='No opinion' class='gsurvey-likert-choice'><input name='input_9' type='radio' value='glikertcol955c1a831'  id='choice_4_9_5'    aria-labelledby='likert_col_5_4_9'\/><\/td><\/tr><\/tbody><\/table><\/div><\/div><div id=\"field_4_10\" class=\"gfield gfield--type-survey gfield--input-type-likert field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" ><label class='gfield_label gform-field-label' >How would you rate the availability of necessary technology for your needs?<\/label><div class='ginput_container ginput_container_likert'><table aria-label='How would you rate the availability of necessary technology for your needs?' class='gsurvey-likert' id='input_4_10'><thead><tr><th id='likert_col_1_4_10' scope='col' role='presentation' class='gsurvey-likert-choice-label'>Excellent<\/th><th id='likert_col_2_4_10' scope='col' role='presentation' class='gsurvey-likert-choice-label'>Good<\/th><th id='likert_col_3_4_10' scope='col' role='presentation' class='gsurvey-likert-choice-label'>Fair<\/th><th id='likert_col_4_4_10' scope='col' role='presentation' class='gsurvey-likert-choice-label'>Poor<\/th><th id='likert_col_5_4_10' scope='col' role='presentation' class='gsurvey-likert-choice-label'>No opinion<\/th><\/tr><\/thead><tbody><tr><td data-label='Excellent' class='gsurvey-likert-choice'><input name='input_10' type='radio' value='glikertcol9726200de'  id='choice_4_10_1'    aria-labelledby='likert_col_1_4_10'\/><\/td><td data-label='Good' class='gsurvey-likert-choice'><input name='input_10' type='radio' value='glikertcol9b2225fd9'  id='choice_4_10_2'    aria-labelledby='likert_col_2_4_10'\/><\/td><td data-label='Fair' class='gsurvey-likert-choice'><input name='input_10' type='radio' value='glikertcol95c5d165c'  id='choice_4_10_3'    aria-labelledby='likert_col_3_4_10'\/><\/td><td data-label='Poor' class='gsurvey-likert-choice'><input name='input_10' type='radio' value='glikertcol9a6a2827a'  id='choice_4_10_4'    aria-labelledby='likert_col_4_4_10'\/><\/td><td data-label='No opinion' class='gsurvey-likert-choice'><input name='input_10' type='radio' value='glikertcol955c1a831'  id='choice_4_10_5'    aria-labelledby='likert_col_5_4_10'\/><\/td><\/tr><\/tbody><\/table><\/div><\/div><div id=\"field_4_11\" class=\"gfield gfield--type-survey gfield--input-type-likert field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" ><label class='gfield_label gform-field-label' >How would you rate the staff&#039;s knowledge of disabilities, accommodations, technology, and other related issues?<\/label><div class='ginput_container ginput_container_likert'><table aria-label='How would you rate the staff&#039;s knowledge of disabilities, accommodations, technology, and other related issues?' class='gsurvey-likert' id='input_4_11'><thead><tr><th id='likert_col_1_4_11' scope='col' role='presentation' class='gsurvey-likert-choice-label'>Excellent<\/th><th id='likert_col_2_4_11' scope='col' role='presentation' class='gsurvey-likert-choice-label'>Good<\/th><th id='likert_col_3_4_11' scope='col' role='presentation' class='gsurvey-likert-choice-label'>Fair<\/th><th id='likert_col_4_4_11' scope='col' role='presentation' class='gsurvey-likert-choice-label'>Poor<\/th><th id='likert_col_5_4_11' scope='col' role='presentation' class='gsurvey-likert-choice-label'>No opinion<\/th><\/tr><\/thead><tbody><tr><td data-label='Excellent' class='gsurvey-likert-choice'><input name='input_11' type='radio' value='glikertcol9726200de'  id='choice_4_11_1'    aria-labelledby='likert_col_1_4_11'\/><\/td><td data-label='Good' class='gsurvey-likert-choice'><input name='input_11' type='radio' value='glikertcol9b2225fd9'  id='choice_4_11_2'    aria-labelledby='likert_col_2_4_11'\/><\/td><td data-label='Fair' class='gsurvey-likert-choice'><input name='input_11' type='radio' value='glikertcol95c5d165c'  id='choice_4_11_3'    aria-labelledby='likert_col_3_4_11'\/><\/td><td data-label='Poor' class='gsurvey-likert-choice'><input name='input_11' type='radio' value='glikertcol9a6a2827a'  id='choice_4_11_4'    aria-labelledby='likert_col_4_4_11'\/><\/td><td data-label='No opinion' class='gsurvey-likert-choice'><input name='input_11' type='radio' value='glikertcol955c1a831'  id='choice_4_11_5'    aria-labelledby='likert_col_5_4_11'\/><\/td><\/tr><\/tbody><\/table><\/div><\/div><div id=\"field_4_12\" class=\"gfield gfield--type-survey gfield--input-type-likert field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" ><label class='gfield_label gform-field-label' >How would you rate the staff&#039;s sensitivity and responsiveness to you and your needs?<\/label><div class='ginput_container ginput_container_likert'><table aria-label='How would you rate the staff&#039;s sensitivity and responsiveness to you and your needs?' class='gsurvey-likert' id='input_4_12'><thead><tr><th id='likert_col_1_4_12' scope='col' role='presentation' class='gsurvey-likert-choice-label'>Excellent<\/th><th id='likert_col_2_4_12' scope='col' role='presentation' class='gsurvey-likert-choice-label'>Good<\/th><th id='likert_col_3_4_12' scope='col' role='presentation' class='gsurvey-likert-choice-label'>Fair<\/th><th id='likert_col_4_4_12' scope='col' role='presentation' class='gsurvey-likert-choice-label'>Poor<\/th><th id='likert_col_5_4_12' scope='col' role='presentation' class='gsurvey-likert-choice-label'>No opinion<\/th><\/tr><\/thead><tbody><tr><td data-label='Excellent' class='gsurvey-likert-choice'><input name='input_12' type='radio' value='glikertcol9726200de'  id='choice_4_12_1'    aria-labelledby='likert_col_1_4_12'\/><\/td><td data-label='Good' class='gsurvey-likert-choice'><input name='input_12' type='radio' value='glikertcol9b2225fd9'  id='choice_4_12_2'    aria-labelledby='likert_col_2_4_12'\/><\/td><td data-label='Fair' class='gsurvey-likert-choice'><input name='input_12' type='radio' value='glikertcol95c5d165c'  id='choice_4_12_3'    aria-labelledby='likert_col_3_4_12'\/><\/td><td data-label='Poor' class='gsurvey-likert-choice'><input name='input_12' type='radio' value='glikertcol9a6a2827a'  id='choice_4_12_4'    aria-labelledby='likert_col_4_4_12'\/><\/td><td data-label='No opinion' class='gsurvey-likert-choice'><input name='input_12' type='radio' value='glikertcol955c1a831'  id='choice_4_12_5'    aria-labelledby='likert_col_5_4_12'\/><\/td><\/tr><\/tbody><\/table><\/div><\/div><div id=\"field_4_13\" class=\"gfield gfield--type-survey gfield--input-type-likert field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" ><label class='gfield_label gform-field-label' >How would you rate the staff&#039;s confidentiality level regarding your personal information?<\/label><div class='ginput_container ginput_container_likert'><table aria-label='How would you rate the staff&#039;s confidentiality level regarding your personal information?' class='gsurvey-likert' id='input_4_13'><thead><tr><th id='likert_col_1_4_13' scope='col' role='presentation' class='gsurvey-likert-choice-label'>Excellent<\/th><th id='likert_col_2_4_13' scope='col' role='presentation' class='gsurvey-likert-choice-label'>Good<\/th><th id='likert_col_3_4_13' scope='col' role='presentation' class='gsurvey-likert-choice-label'>Fair<\/th><th id='likert_col_4_4_13' scope='col' role='presentation' class='gsurvey-likert-choice-label'>Poor<\/th><th id='likert_col_5_4_13' scope='col' role='presentation' class='gsurvey-likert-choice-label'>No opinion<\/th><\/tr><\/thead><tbody><tr><td data-label='Excellent' class='gsurvey-likert-choice'><input name='input_13' type='radio' value='glikertcol9726200de'  id='choice_4_13_1'    aria-labelledby='likert_col_1_4_13'\/><\/td><td data-label='Good' class='gsurvey-likert-choice'><input name='input_13' type='radio' value='glikertcol9b2225fd9'  id='choice_4_13_2'    aria-labelledby='likert_col_2_4_13'\/><\/td><td data-label='Fair' class='gsurvey-likert-choice'><input name='input_13' type='radio' value='glikertcol95c5d165c'  id='choice_4_13_3'    aria-labelledby='likert_col_3_4_13'\/><\/td><td data-label='Poor' class='gsurvey-likert-choice'><input name='input_13' type='radio' value='glikertcol9a6a2827a'  id='choice_4_13_4'    aria-labelledby='likert_col_4_4_13'\/><\/td><td data-label='No opinion' class='gsurvey-likert-choice'><input name='input_13' type='radio' value='glikertcol955c1a831'  id='choice_4_13_5'    aria-labelledby='likert_col_5_4_13'\/><\/td><\/tr><\/tbody><\/table><\/div><\/div><div id=\"field_4_14\" class=\"gfield gfield--type-survey gfield--input-type-likert field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" ><label class='gfield_label gform-field-label' >How would you rate the staff&#039;s availability to meet your needs?<\/label><div class='ginput_container ginput_container_likert'><table aria-label='How would you rate the staff&#039;s availability to meet your needs?' class='gsurvey-likert' id='input_4_14'><thead><tr><th id='likert_col_1_4_14' scope='col' role='presentation' class='gsurvey-likert-choice-label'>Excellent<\/th><th id='likert_col_2_4_14' scope='col' role='presentation' class='gsurvey-likert-choice-label'>Good<\/th><th id='likert_col_3_4_14' scope='col' role='presentation' class='gsurvey-likert-choice-label'>Fair<\/th><th id='likert_col_4_4_14' scope='col' role='presentation' class='gsurvey-likert-choice-label'>Poor<\/th><th id='likert_col_5_4_14' scope='col' role='presentation' class='gsurvey-likert-choice-label'>No opinion<\/th><\/tr><\/thead><tbody><tr><td data-label='Excellent' class='gsurvey-likert-choice'><input name='input_14' type='radio' value='glikertcol9726200de'  id='choice_4_14_1'    aria-labelledby='likert_col_1_4_14'\/><\/td><td data-label='Good' class='gsurvey-likert-choice'><input name='input_14' type='radio' value='glikertcol9b2225fd9'  id='choice_4_14_2'    aria-labelledby='likert_col_2_4_14'\/><\/td><td data-label='Fair' class='gsurvey-likert-choice'><input name='input_14' type='radio' value='glikertcol95c5d165c'  id='choice_4_14_3'    aria-labelledby='likert_col_3_4_14'\/><\/td><td data-label='Poor' class='gsurvey-likert-choice'><input name='input_14' type='radio' value='glikertcol9a6a2827a'  id='choice_4_14_4'    aria-labelledby='likert_col_4_4_14'\/><\/td><td data-label='No opinion' class='gsurvey-likert-choice'><input name='input_14' type='radio' value='glikertcol955c1a831'  id='choice_4_14_5'    aria-labelledby='likert_col_5_4_14'\/><\/td><\/tr><\/tbody><\/table><\/div><\/div><div id=\"field_4_15\" class=\"gfield gfield--type-survey gfield--input-type-likert field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" ><label class='gfield_label gform-field-label' >If you came to the Disability Support Services office, how would you rate the office&#039;s physical accessibility?<\/label><div class='ginput_container ginput_container_likert'><table aria-label='If you came to the Disability Support Services office, how would you rate the office&#039;s physical accessibility?' class='gsurvey-likert' id='input_4_15'><thead><tr><th id='likert_col_1_4_15' scope='col' role='presentation' class='gsurvey-likert-choice-label'>Excellent<\/th><th id='likert_col_2_4_15' scope='col' role='presentation' class='gsurvey-likert-choice-label'>Good<\/th><th id='likert_col_3_4_15' scope='col' role='presentation' class='gsurvey-likert-choice-label'>Fair<\/th><th id='likert_col_4_4_15' scope='col' role='presentation' class='gsurvey-likert-choice-label'>Poor<\/th><th id='likert_col_5_4_15' scope='col' role='presentation' class='gsurvey-likert-choice-label'>No opinion<\/th><\/tr><\/thead><tbody><tr><td data-label='Excellent' class='gsurvey-likert-choice'><input name='input_15' type='radio' value='glikertcol9726200de'  id='choice_4_15_1'    aria-labelledby='likert_col_1_4_15'\/><\/td><td data-label='Good' class='gsurvey-likert-choice'><input name='input_15' type='radio' value='glikertcol9b2225fd9'  id='choice_4_15_2'    aria-labelledby='likert_col_2_4_15'\/><\/td><td data-label='Fair' class='gsurvey-likert-choice'><input name='input_15' type='radio' value='glikertcol95c5d165c'  id='choice_4_15_3'    aria-labelledby='likert_col_3_4_15'\/><\/td><td data-label='Poor' class='gsurvey-likert-choice'><input name='input_15' type='radio' value='glikertcol9a6a2827a'  id='choice_4_15_4'    aria-labelledby='likert_col_4_4_15'\/><\/td><td data-label='No opinion' class='gsurvey-likert-choice'><input name='input_15' type='radio' value='glikertcol955c1a831'  id='choice_4_15_5'    aria-labelledby='likert_col_5_4_15'\/><\/td><\/tr><\/tbody><\/table><\/div><\/div><fieldset id=\"field_4_16\" class=\"gfield gfield--type-survey gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" ><legend class='gfield_label gform-field-label' >Would you attend a seminar or training regarding disabilities and\/or accommodations?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' 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