Becoming rentABLE Survey

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This survey is organized by Becoming rentABLE. Its purpose is to help facilitate a conversation about inclusive short-term rental properties. The information collected will be used to educate our target audiences about what people with disabilities and their associates need and want in an accessible short-term rental property.

Email *

Your Name *

Your Address

Your Disability (choose one) *

Ambulatory difficulty (having serious difficulty walking or climbing stairs)

Cognitive difficulty (having difficulty remembering, concentrating, or making decisions)

Independent living difficulty (having difficulty doing errands alone such as visiting a doctor’s office or shopping)

Deaf or having serious difficulty hearing)

Self-care difficulty (having difficulty bathing or dressing)

Vision difficulty (blind or having serious difficulty seeing, even when wearing glasses)

Other:

Required

Your Disability Association (choose one) *

Individual with disability

Parent of person with disability

Sibling of person with disability

Grandparent of person with disability

Extended family member of person with disability

Friend of person with disability

Caretaker of person with disability

Professional Services Provider

Disability advocate

Your Gender

Your Age (choose one)

18-24

25-34

35-44

45-54

55-64

65-74

75 and older

Clear selection

Your Race (choose one)

White

Black or African American

Asian

Native American or Native Alaskan

Native Hawaiian or Other Pacific Islander

Prefer not to say

Other:

Clear selection

Your Marital Status (choose one)

Single, never married

Married

Widowed

Divorced

Separated

Clear selection

Clear form

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