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Rossi Fund Participant Survey

Welcome home! Please fill out this questionnaire and then complete your Rossi Fund Reimbursement Form. The information you provide will helpus to improve the JeanWolff-Rossi Fund for Participant Involvement process in the future.

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1. Did this event improve your knowledge, networking, or skills to be a better self-advocate and/or to improve the lives of people with developmental disabilities?

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2. Would you recommend this event to someone else?

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4. How did you find out about the Rossi Fund? (Check one)

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7. May we use your comments a bout the Rossi Fund in NC Council on Developmental Disabilities publications or on the Council website?

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Thank you for filling out this survey on the Jean Wolff-Rossi Fund for Participant Involvement. We will use the information you have provided along with other responses to make our program more accessible to family members of and individuals with developmental disabilities. If you would like to provide additional feedback, need assistance, or have questions about this survey please contact:

EMAIL, MAIL, OR FAX TO:
Rossi Fund Coordinator
NC Council on Developmental Disabilities
2010 Mail Service Center

Raleigh, NC  27699-2010
Email: [email protected]
(Voice/TDD) 919-527-6500
(Toll Free Voice/TDD) (800) 357-6916
(FAX) 919-715-0325

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North Carolina Council on Developmental Disabilities

Office Hours: 9AM-4PM Monday-Friday
3109 POPLARWOOD COURT, SUITE 105,
RALEIGH, NC 27604
[email protected]
 
1-800-357-6916 (Toll Free)
984-920-8200 (Office/TTY)
984-920-8201 (Fax)
 
This project was supported, in part by grant number 2001NCSCDD-02, from the U.S. Administration for Community Living, Department of Health and Human Services, Washington, D.C. 20201. Grantees undertaking projects with government sponsorship are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent official ACL policy.

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