DEI – Share Feedback Form

HomeDEI – Share Feedback Form

Share Our Site On

Thoughts about our DEI work? We would love to learn more. Please share your thoughts or feedback with us using the form below. All fields are optional. You do not have to share your name or other information with us. We appreciate your feedback!

Overall, how are we doing with our Diversity, Equity & Inclusion Plan?
- Excellent
- Very Good
- Good
- Fair
- Poor
Which of the following best describes you? (Choose as many as apply)
- Person with an Intellectual or Developmental Disability (IDD)
- Parent or Sibling of a person with IDD
- Relative or friend of a person with IDD
- Staff Member of AHRC Nassau
- Professional in the disability field
- Non profit professional
- Disability Service Provider
- Other
Name (Optional)
First Last
Email
Phone Number:
Organization (If applicable)
Please share questions, thoughts or feedback: