Home - National Multiple Sclerosis Society

Skip to navigation Skip to content

Accessible Indoor Recreation Survey

We are conducting a survey in order to find the best places for people with disabilities to exercise.
We would very much like to hear your experiences, good and bad.
Please take a few minutes to fill out this survey. The reponses will help us to advocate for better resources for people with MS!

1.
Question - Not Required - What type of activity or activities do you participate in?









2.  


3.  


4.  


5.
Question - Not Required - How do you get to the activity site? (choose one or more)

6.  


7.


8.

(Maximum response 255 chars, approx. 5 rows of text)

9.
Question - Not Required - Check the following places where you encountered a barrier preventing you from using the facility, or fully enjoying your visit. (Check all that apply)

10.  


11.

12.

13.
Question - Not Required - Check which of the following are required in order for you to use the exercise facility. (check all that apply)

14.
Question - Not Required - How often do you require these resources?




15.  


16.
Question - Not Required - Does the facility offer discounts for disabilities?



17.


18.


19.
Question - Not Required - What is your age group?





20.
Question - Not Required - What is your gender?


21.

(Maximum response 255 chars, approx. 5 rows of text)

   Please leave this field empty