Skip to content
Search
Donate
Main Menu
About Us
About Us
Our History
Our Team
Our Board
FAQ
Locations
Berkeley
Fruitvale
Wheelhouse
Programs
Systems Change
Systems Change Advocacy | Overview
Campaigns & Initiatives
Advocacy Training
Assistive Technology
Assistive Technology | Overview
AT Loaners & Repairs
Whill Sales
Donate AT
Travel Programs
Travel Program | Overview
Travel Program
Group Travel Workshops
Wheelchair Marking & Tethering
Coastal Connections
Core Services
Core Services | Overview
Informational & Referral
Independent Living Peer Support
Personal Attendant Services
Housing Assistance
Benefits Counseling
Living Well Senior Program
Digital Divide
Acquired Disability Group
Diversion and Transitions
Emergency Preparedness
Emergency Preparedness | Overview
Individual Emergency Planning
DDAR Services & Portable Battery Program
Peer Ambassador Program
Community Events and Education
Residential Access
Youth Programs
College & Vocational Support
Youth Advocacy
Youth Social Club
Coastal Connections
Codestars
Resources Directory
Events
Press & Blog
Blog
Press Releases
The Independent Podcast
Careers at CIL
Volunteer
Contact Us
Donate
Main Menu
Contact Us
IR Feedback
CIL Satisfaction Survey
A problem was detected in the following Form. Submitting it could result in errors. Please contact the site administrator.
Which service(s) were you provided with?
Please Select
Assistive Technology
Disability Benefits Information
Emergency Preparedness
Employment Services
Housing
Information and Referral
Living Well with a Disability Group
Medical Advocacy
Nursing Home Transition Assistance
Peer Counseling
Personal Attendant Services Information
Residential Access (e.g., ramps, safety bars, lifts, other home modifications)
Transportation/Travel Training
Youth Programs
Other
If Other, please specify
For the following questions, please pick the answer that best fits.
The person who assisted me answered my questions helpfully.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I am more knowledgeable about community services available to me.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Do you have any additional comments or questions? Please share them with us.
Would you like to include your name and contact information?
All fields are optional, and this information will remain confidential.
Yes
No
Full Name
Email
Send
Close Menu
Close Menu
About Us
About Us
What motivates us
Our History
Discover our story
Our Team
Learn about us
Our Board
Who's on the board
FAQ
Get answers
Programs
Systems Change Advocacy
Assistive Technology
Travel Training
Core Services
Diversion and Transitions
Emergency Preparedness
Residential Access
Youth Programs
Systems Change Advocacy | Overview
Campaigns & Initiatives
Advocacy Training
Assistive Technology | Overview
Loaners & Repairs
Whill Sales
Donate Assistive Tech
Travel Program | Overview
Travel Program
Group Travel Workshops
Wheelchair Marking & Tethering
Coastal Connections (Youth Program)
Core Services | Overview
Information & Referral
Independent Living Peer Support
Personal Attendant Services
Housing Assistance
Benefits Couseling
Living Well Senior Program
Acquired Disability Group
Digital Divide
Diversions and Transitions
Emergency Preparedness Overview
Individual Emergency Planning
DDAR Services & Portable Battery Program
Peer Ambassador Program
Community Events and Education
Residential Access
Youth Programs Overview
College & Vocational Support
Youth Advocacy
Youth Social Club
Coastal Connections
Codestars
What's New
Events
Find out what's happening!
Blog
Read the latest news
Press Releases
Official statements
The Independent Podcast
Official CIL Podcast
Resource Directory
Find the help you need
Get Involved
Careers at the CIL
We're looking for you! Apply today
Volunteer
See what opportunities are available
Donate
Support the vital work of The CIL
Contact Us
Contact us
Got questions?
Feedback
We want to hear from you!
Locations
Fruitvale
Spanish Language Programs
Berkeley
Programs & Admin
Wheelhouse
AT Repair & Loaners
Get Social
Twitter
Facebook
Instagram
Youtube
Linkedin