Inland Regional Center

info@inlandrc.org

1365 S. Waterman Ave., San Bernardino, CA, 92408, US

Purchased Services Data Survey 2022

Have you seen the Purchase of Services Data?

Yes

After reviewing the data, which specific area of the data is most important to you?

Other

Will you be able to attend the meeting in English on February 15, 2023, to listen to the data presentation?

Yes

Not Applicable

Continue to Next Section

Yes

Do you or your child currently have a service funded by Inland Regional Center?

Other

If your answer is no, please explain why.

Other

Are you aware of our Community-Based Organization that helps you connect with an Inland Regional Center funded service?

Yes

Would you like our Cultural Specialist to contact you for more information?

Yes

Phone Number

Best time of day to call

Continue to Next Section

Yes

How can Inland Regional Center do a better job of ensuring equity in its services?

What are your recommendations for future Inland Regional Center programs?

Have you seen the Inland Regional Center's list of common services on inlandrc.org?

Yes

Have you heard of the Self-Determination Program?

Yes

If you are interested in Self-Determination how can we contact you?

Do you use respite care? If not, please explain why.

Other

Confirm selections

Yes