Polling Place Accessibility Survey (Short Version)

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Disability Rights Texas Handout

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Polling Place Survey – Short Version

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Disability Rights Texas would like to know if your polling place is accessible. Providing us information on the accessibility of your polling place may help resolve accessibility issues in the future. If you are interested in filling out this survey, please indicate the county and precinct information. You can also provide your contact information, although it is not required. Thank you!

Location & Contact Information

County: __________________________________________
Precinct: __________________________________________
Polling place address: ______________________________
Name (optional): ___________________________________
Phone/Email (optional): _____________________________

Parking

1. Was there at least one accessible parking space?

Select one:          Yes        No      n/a

2. Was the accessible space marked by a visible sign (other than on the asphalt)?

Select one:          Yes        No      n/a

3. Was the accessible parking area paved?

Select one:          Yes        No      n/a

Entrance

4. Is the walkway from parking to accessible entrance free of steps?

Select one:          Yes        No      n/a

5. If there are steps or curbs, are there ramps provided?

Select one:          Yes        No      n/a

6. Was there at least one accessible entrance?

Select one:          Yes        No      n/a

7. Could you open all doors with a closed fist?

Select one:          Yes        No      n/a

8. Were all doors wide enough for a wheelchair to pass through (32 inches)?

Select one:          Yes        No      n/a

Voting Area

9. Was there at least one accessible voting system provided?

Select one:          Yes        No      n/a

10. Were you able to easily use the voting machine’s accessibility features?

Select one:          Yes        No      n/a

If no, please explain:

 

11. Were you able to cast your vote privately and independently?

Select one:          Yes        No      n/a

12. Were you asked to show a PHOTO ID instead of/or in addition to a voter registration card?

Select one:          Yes        No      n/a

13. If assistance or accommodations were requested, were poll workers helpful? (example: curbside voting, person of assistance, headphones)

Select one:          Yes        No      n/a

If no, please explain:

 

  1. If you eligibility to vote was questioned, how did the poll worker handle the situation?

 

 

  1. What, if any, voter education or training have you received?

 

 

  1. Any other comments:

 

 

Please return this survey to:

HAVA Training and Technical Support Specialist
2222 West Braker Lane
Austin, TX 78758

Or email a scanned attachment to vote@disabilityrightstx.org

Or fax to: 512-323-0902

If you have questions about your voting rights, or want to report a violation, contact us on our Voting Rights Hotline at 1-888-796-VOTE (8683).

 

Last updated: August 28, 2020
Publication Code: HA24


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www.DRTx.org
Statewide Intake: 1-800-252-9108
Sign Language Video Phone: 1-866-362-2851
Purple 2 Video Phone: 512-271-9391
Online Intake available 24/7: intake.DRTx.org

Disclaimer: Disability Rights Texas strives to update its materials on an annual basis, and this handout is based upon the law at the time it was written. The law changes frequently and is subject to various interpretations by different courts. Future changes in the law may make some information in this handout inaccurate.

The handout is not intended to and does not replace an attorney’s advice or assistance based on your particular situation.

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