Community Needs Survey

We value your suggestions for improving vocational rehabilitation services for West Virginians. By thoughtfully answering the following questions, you can help us to get West Virginia working more effectively for a better future.

If you need to speak with someone about services for yourself, a family member or friend, use the Information Request form to provide us with your contact information.

If you complete this survey or an Information Request, please don't forget to click the "Send" button after answering the questions. We appreciate your help.

  1. Please choose the response that best applies to you
    (Select all that apply)

    an individual with a disability
    in need of services to obtain or retain employment
    a parent or family member of a person with disabilities
    an advocate for persons with disabilities
    a service provider
    a rehabilitation professional
    a vocational rehabilitation counselor
    a school counselor
    Other (please explain below)


  3. Barbour Berkeley Boone Braxton Brooke
    Cabell Calhoun Clay Doddridge Fayette
    Gilmer Grant Greenbrier Hampshire Hancock
    Hardy Harrison Jackson Jefferson Kanawha
    Lewis Lincoln Logan Marion Marshall
    Mason McDowell Mercer Mineral Mingo
    Monongalia Monroe Morgan Nicholas Ohio
    Pendleton Pleasants Pocahontas Preston Putnam
    Raleigh Randolph Ritchie Roane Summers
    Taylor Tucker Tyler Upshur Wayne
    Webster Wetzel Wirt Wood Wyoming


  4. White
    Black or African American
    Native American
    Native Hawaiian or Pacific Islander
    Other (please specify below)