|
Do you know what to do in the
following situations? |
I know what to do |
I would like to learn more |
Explain / Comment |
| 1. You are not satisfied with how people
accompany you when you are out in the community? |
Yes
No
Sometimes
Not Sure
|
Yes
No
|
|
| 2. Keeping your money (e.g., wallet,
purse, etc.) safe from being stolen? |
Yes
No
Sometimes
Not Sure
|
Yes
No
|
|
| 3. Paying for items (e.g., ensuring you
have given the right amount of money, received the correct change,
etc.)? |
Yes
No
Sometimes
Not Sure
|
Yes
No
|
|
| 4. Keeping your computer and/or personal
items safe and private? |
Yes
No
Sometimes
Not Sure
|
Yes
No
|
|
| 5. Keeping your personal information
private (e.g., bank accounts, signature, medical information, your
private business, etc.)? |
Yes
No
Sometimes
Not Sure
|
Yes
No
|
|
| 6. You are in a public place and the
fire alarm is activated? |
Yes
No
Sometimes
Not Sure
|
Yes
No
|
|
| 7. Being safe on community streets (e.g.,
asking directions, driving, etc.)? |
Yes
No
Sometimes
Not Sure
|
Yes
No
|
|
| 8. Being safe on public transit such
as Wheel Trans? |
Yes
No
Sometimes
Not Sure
|
Yes
No
|
|
| 9. You miss your ride (e.g., contacting
someone, asking for help, etc.)? |
Yes
No
Sometimes
Not Sure
|
Yes
No
|
|
| 10. Being safe visiting community services? |
Yes
No
Sometimes
Not Sure
|
Yes
No
|
|
| 11. Being safe at night in the community? |
Yes
No
Sometimes
Not Sure
|
Yes
No
|
|
| 12. Being safe in public elevators? |
Yes
No
Sometimes
Not Sure
|
Yes
No
|
|
| 13. Your wheelchair breaks down and there
is nobody around who knows you? |
Yes
No
Sometimes
Not Sure
|
Yes
No
|
|
| 14. Other: Please specify. |
Yes
No
Sometimes
Not Sure
|
Yes
No
|
|