Survey Form

About Survey: Audio Version of the Survey My Choices My Plan

    1. My goals are: *

    2. The types of places I want to live include: *

    3. Steps I need to take to live on my own are: *

    4. The types of transportation I use include: *

    5. On a scale of (1) to (10,) ten important, how important is it to you to live independently (on your own)? *

    6. On a scale of (1) to (10), ten confident, how confident are you that you have the ability to live independently? *