Chronic illness, traumatic injury, or disability focus group questionnaire

Are you working through a chronic illness, traumatic injury, or disability?
If yes, is your employer aware?
Have you requested accommodations from your employer?
If yes, has your employer provided the requested accommodations?
Would you like to participate in a focus group or private (anonymous) interview?
If you would like to be contacted to participate in our focus group or other aspects of this projects please include your information below and we will follow up with you