Chronic illness, traumatic injury, or disability focus group questionnaire Are you working through a chronic illness, traumatic injury, or disability? Yes No Unsure If yes, is your employer aware? Yes No Unsure Employer is aware of some but not all disabilities Have you requested accommodations from your employer? Yes No If yes, has your employer provided the requested accommodations? Yes No If yes, please describe the accommodations providedIf you would like to share a description of your experience regarding accommodations - successes or challenges - please do so below. All responses are confidential.Would you like to participate in a focus group or private (anonymous) interview? I would like to participate in the focus group I would like to participate in a private (anonymous) interview I choose not to participate in this process at this time Do you have ideas for how to make this focus group great? Please tell us below.If you would like to be contacted to participate in our focus group or other aspects of this projects please include your information below and we will follow up with you First Name Last Name Email
