Accessibility Feedback Form

Please complete the form below. Required fields marked with an asterisk *

Which site did you experience an accessibility issue?*

Answer Required

Which group do you most identify with?*

Answer Required

a. Individual with an accessibility need

b. Caregiver for an individual with an accessibility need

c. Service Provider / Therapist outside of school

d. SD67 staff member

Other:

What barrier do you experience in our school district?*

Answer Required

a. Physical access (ex. Stairs, doorways)

b. Vision (e.g., dark stairwells, curbs you can’t see well, poor room signage)

c. Hearing (e.g., hearing the teacher or announcements)

d. Overall environment (lighting, scent, noise level)

e. Mental health (e.g. anxiety)

f. Information/Technological (e.g. font size/colour/difficult to understand)

Other:

You may upload a photo or short video if you wish.

Answer Required

Choose a file or drag it here.

Why does this create a barrier for you?*

Answer Required

What would make it better?*

Answer Required

What things are currently in place that you have found helpful?*

Answer Required

Would you like to report a celebration of accessibility?

Answer Required

Is there anything else you would like the adults at school or the district to know?*

Answer Required

Please provide your name and email or phone number if you would like to be contacted.

Answer Required

Please fix the highlighted areas below before submitting.