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EMPOWERMENT SURVEY
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
Do you get to make the big decision on your life? For example, deciding who to live with,where to live ,or how to spend your money ?
Select one or more answers
Not at all
A little
Moderately
Mostly
Completely
2
Do you think that the policies in your country provide people with disability equal rights as other people?
Select one or more answers
Not at all
A little
Moderately
Mostly
Completely
3
Are you satisfied with your ability to persuade people of your views and intrest?
Select one or more answers
Not at all
A little
Moderately
Mostly
Completely
4
Do you get to influence the way your community is run?
Select one or more answers
Not at all
A little
Moderately
Mostly
Completely
5
Do you vote in the last election?
Select one or more answers
Yes
No
6
Are you a member of self help group?
Select one or more answers
Yes
No,but I would like to
No,but I don't want
7
To what extent do you feel Disabled people's organisation adequately represent your concerns and priorities?
Select one or more answers
Not at all
A little
Moderately
Mostly
Completely
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