2012 Political Party Caucus Accessibility Survey
Survey purpose: A number of disability advocacy groups are seeking information about the accessibility of political party caucuses for party members with disabilities. The groups plan to provide the results of this survey to the political parties for their use in identifying and removing barriers to access and improve responses to requests for accommodation.
Survey sponsors: This survey is being conducted by Disability Rights Washington (DRW), Disability Business Technical Assistance Center Northwest (DBTAC Northwest), Governor’s Committee on Disability Issues and Employment (GCDE), and the State Independent Living Council (SILC).
Directions: If you wish to participate in this survey, simply attend the caucus for your preferred political party, and return the survey. You can print out this survey, fill it out, and mail it to DRW or you can e-mail it to DRW.
Please e-mail to: email@example.com
Please mail to: Disability Rights Washington 315 5th Avenue South # 850
Seattle, WA. 98104
Caucus locations and dates:
Saturday, March 3 - Republican Party caucus
For your caucus locations call (425) 460-0570, or visit:
Sunday, April 15 - Democratic Party caucus
For your caucus locations call (206) 583-0664, or visit:
Survey: Please answer the questions below.
1. Information about access -- Were you able to obtain the information you needed about the accessibility of the caucus location or how to get an accommodation? Example: Did the party provide a contact for requesting an accommodation? Was the website announcing the caucus accessible to you?
2. Transportation? Was it difficult to get to the caucus? Example: Was public transportation available to the site? Was assistance available to carpool? Was there sufficient accessible parking available?
3. Accessible route to the caucus? Could you get from parking to the caucus room without difficulty? Example: Were there steps? If you use a wheelchair, was there room to maneuver? Please identify any barriers.
4. Full Participation in caucus? Were you able to fully participate in the caucus? Please indicate any examples of actions that were taken that made the caucus more accessible, as well as barriers to access. Examples: Were accommodations provided so you could hear the discussion? Was written material in a format you could read? Were you able to participate in the delegate selection voting and discussion? If not, why not?
5. Participate in party activities? Are you able to participate in other party activities you heard about at the caucus? Examples: Will you be able to attend the party convention as a delegate?
6. Other concerns or positive comments? Please provide any additional information about the accessibility of the caucus you attended that you think is relevant.
Location and Date
Please identify the location of the caucus you attended:
Date of Caucus:
Optional: The following information will not be disclosed without your permission.
If you wish to be provided with the results of this survey, please provide the following:
Your email address:
Thank you for completing this survey.
For information about this survey, please contact: David Lord, Disability Rights Washington at firstname.lastname@example.org