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Rossi Fund Participant Survey

Welcome home! Please fill out this questionnaire and then complete your Rossi Fund Reimbursement Form. The information you provide will helpus to improve the JeanWolff-Rossi Fund for Participant Involvement process in the future.

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1. Did this event improve your knowledge, networking, or skills to be a better self-advocate and/or to improve the lives of people with developmental disabilities?

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2. Would you recommend this event to someone else?

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4. How did you find out about the Rossi Fund? (Check one)

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7. May we use your comments a bout the Rossi Fund in NC Council on Developmental Disabilities publications or on the Council website?

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Thank you for filling out this survey on the Jean Wolff-Rossi Fund for Participant Involvement. We will use the information you have provided along with other responses to make our program more accessible to family members of and individuals with developmental disabilities. If you would like to provide additional feedback, need assistance, or have questions about this survey please contact:

EMAIL, MAIL, OR FAX TO:
Rossi Fund Coordinator
NC Council on Developmental Disabilities
3125 Poplarwood Court, Suite 200
Raleigh, NC 27604
Email: RossiFund@nccdd.org
(Voice/TDD) (919) 850-2901
(Toll Free Voice/TDD) (800) 357-6916
(FAX) (919) 850-2915

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North Carolina Council on Developmental Disabilities
3125 Poplarwood Court
Suite 200
Raleigh, NC 27604
Info@nccdd.org
919-850-2901 (voice/tdd)
800-357-6916 (voice/tdd)
800-357-6916 (TTY)
919-850-2915 fax