1. What is your first Name *2. What is your last *3. Age *15-1718-2425-2930-3135-3940-44 4. What academic Institution you are currently attending *A) High SchoolB) CollegeC) UniversityD) Applying to collegeE) Applying to University 5. Do you have a chronic health condition that requires the use of Accessibility Services? *YesNo 6. What is your chronic health condition? *7. In the past year, how often have you engaged with Student Accessibility Services at a college or university? *a) Neverb) 1 time per yearc) two times per yeard) three times per year 8. In the past year, how often have you engaged with a healthcare provider regarding your chronic health condition? *a) Neverb) every two weeksc) Every monthd) Every 3 monthse) every 6 months 9. How comfortable would you feel sharing your personal health information (details of your chronic health condition) with your academic institution? *Not at all comfortableNot very comfortableSomewhat comfortableVery ComfortableExtremely comfortable 10. Have you used the service from a community health centre to address your chronic health condition? *YesNo 11. To start registration with student accessibility services for academic accommodation you will be required to fill out a form with accessibility services. Do you think you will use technology (online form versus hard copy) to fill out forms required for accessibility services? *12. To start registration with student accessibility services for academic accommodation you will be required documentation completed by your health care professional (e.g. a letter outlining the impacts of your chronic illness to your learning). Do you think you will use technology (i.e., website versus going to a doctors office) to schedule appointments with a doctor to get this documentation from your doctor? *13. What are some of the challenges you experience as a student seeking accessibility services in college or university? *Submit Your Answers
