VOICES Survey

VOICES ADVANCING THE BRAIN INJURY COMMUNITY Be Inspired …. Be Involved …. Be Informed…..

The mission for Voices Advancing the Brain Injury Community (Voices) is to champion and publicize the advocacy, rights, and needs of people who have survived a brain injury.

Voices envisions fulfilling its mission through ensuring each of its members express their own unique needs, taking responsibility toward fulfilling the mission of Voices, and serving the broader brain injury community through a mutually-supportive, win-win environment where they may grow, gain a sense of self-worth, and develop a network of friendship.

I am a *

A person with brain injury
Family member
Friend
Professional
Other:

Are you a current member of VOICES or have ever participated in VOICES? *

Yes
No

I have participated in a VOICES meeting:

A few times a year
In the past
Never

If you are a current member or have ever participated in Voices, what did you enjoy or dislike about the experience? What improvements can be made? *

What barriers, if any, prevent you from being involved with Voices? *

What meeting format do you prefer? *

In person
Virtual
Hybrid (in person and virtual option)

What formats do you prefer for receiving information? (Select all that apply) *

Email
Phone call
Text message
Printed materials
Large print
Audio recordings
Video with captions
Plain language summaries
Other:

Why would you be interested in joining or working with an advocacy group? (Check all that apply) *

To connect with others with brain injury while making an impact
To connect with elected officials
To stay informed on policy issues
To help change/improve policies, programs, or services
To advocate on behalf of others
Other:

What kinds of activities/events would you like the group to offer? (Choose as many as you like) *

Guest speakers
Social events
Workshops or trainings
Other:

What topics / issue area(s) are you interested in? *

Acquired brain injury
Brain injury recognition as a chronic condition
Medicaid
Services and supports
Transportation
Other:

I am interested in: *

Statewide issues
Federal issues
Both

How may Voices better prepare you to be an effective advocate? To support your advocacy efforts? *

Group training sessions
One-on-one consulting
Advocating on your behalf
Connecting you to decision-makers
Other:

What do you hope Voices could help change (for you or others with brain injuries)?

Do you have any ideas for projects or things Voices could work on? *

What would encourage you to participate more in brain injury advocacy? *

Demographical questions (OPTIONAL)

My age is:

17 or younger
18-34
35-54
55-74
75 or older

My gender is:

Male
Female
Non-Binary
Other:

My Zip Code is: