Questionnaire for people with disabilities

Name and surname*
Place of work*
Job category*
Work phone number*
E-mail*

What type of disability do you have?Physical motor disabilityPhysical no motor disabilityHearing impairmentVision impairmentIntellectualMental illness

Do you have the certificate of disability recognised by the Department of Social Rights of the Generalitat de Catalunya?YesNo

What degree of disability do you have?

Is your workplace adapted so that you can do your job properly?YesNo

If it has not been adapted, what technical adaptations and support products do you think would be necessary?

If your workplace already has adaptations, do you think they could be improved? Indicate how

Do you think that there is a correct interaction in terms of the way people deal with you in your work environment (they address you without prejudice, maintain order in the distribution of space, avoid non-verbal language, patience, lip reading, etc.)?YesNo

Which ones do you think could be improved and how?

In relation to your disability, what is the predominant attitude in your work environment?Support and understanding of your specific needsOverprotectionAvoidanceOther attitudes

Other attitudes:

Does your job match your level of education and personal skills?A lotEnoughLittleNothing

Do you feel integrated in the work?YesNo

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