Who should fill this out? People with disabilities, family members, caregivers, advocates, and disability service providers. If you are filling this out for someone else, please answer based on your experience.

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Who are you filling out this survey for?(Required)
Which services do you need but are NOT getting?
Check all that apply.
How hard is it to get the help you need?(Required)
Which county in Hawaiʻi do you live in?(Required)

Your Contact Information (optional)

Only fill this in if you would like us to follow up with you.
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