BRIDGES

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Name of Location:

Date Visited:

Wheel Chair Accessibility: Please respond to the questions below based on the wheel chair accessibility (WCA) of the Venue/Location in your previous answer to the initial query of this form (Name of Location:), if applicable: WCA-Parking Lot (Yes or No): Limit 2000 Characters

WCA-Main Area Yes or No:

WCA-Bathrooms Yes or No:

WCA-Service Quality Poor, Average or Excellent:

WCA-Additional Comments on your Experience:

Accessibility for Blind/Low Vision: Please respond to the questions below based on the Accessibility for Blind/Low Vision (BLV): of the Venue/Location in your previous answer to the initial query of this form (Name of Location:) if applicable: Limit 2000 Characters

BLV-Ease of navigation Poor, Average or Excellent:

BLV-Service Quality Poor, Average or Excellent:

BLV-Additional Comments on your Experience:

Accessibility for Deaf or Hard of Hearing: Please respond to the questions below based on the Accessibility for Deaf or Hard of Hearing (DHH): of the Venue/Location in your previous answer to the initial query of this form (Name of Location:) if applicable: Limit 2000 Characters

Accessibility for Deaf or Hard of Hearing: Please respond to the questions below based on the Accessibility for Deaf or Hard of Hearing (DHH): of the Venue/Location in your previous answer to the initial query of this form (Name of Location:) if applicable: Limit 2000 Characters

DHH-Ease of navigation Poor, Average or Excellent:

DHH-Service Quality Poor, Average or Excellent:

DHH-Additional Comments on your Experience:

Accessibility Experience as a person with Invisible/Medical Disability: Please respond to the questions below based on the Accessibility Experience as a person with Invisible/Medical Disability: (IMD): of the Venue/Location in your previous answer to the initial query of this form (Name of Location:) if applicable: Limit 2000 Characters

IMD-Ease of navigation Poor, Average or Excellent:

IMD-Service Quality Poor, Average or Excellent:

IMD-Additional Comments on your Experience: