If Please Activity/Action
Email *
Which best describes you? * --- Select Choice --- Professional Person with Lived Experience Family Member or Caregiver of a Person with a Brain Injury
Which Priority Did You Address? * --- Select Choice --- Advocacy and Prevention Social and Recreational Support Independent Living Services Employment/Vocational Services Training and Education
If you addressed Advocacy and Prevention, which Goal applied? --- Select Choice --- Goal 1: Enhance Self-Advocacy Skills of Individuals Living with Brain Injury Goal 2: Pursue Funding Opportunities for Awareness Education Goal 3: Advocate in Legislative and State Agency Systems Goal 4: Increase Prevention Strategies and Public Education Awareness
If you addressed Social and Recreational Support, which Goal applied? --- Select Choice --- Goal 1: Identify Accessible Facilities and Activities in Our Communities Goal 2: Promote Support Group that are inclusive and Available Statewide
If you addressed Independent Living Services, which Goal applied? --- Select Choice --- Goal 1: Promote Person-Centered, Trauma-Informed Practices to Support Workforces, Communities, and all Types of Caregivers Goal 2: Enhance Caregiver Awareness, Workforce Development, and all Aspects of Independent Living
If you addressed Employment/Vocational Services, which Goal applied? --- Select Choice --- Goal 1: Working with Vocational Rehabilitation (VR) and Education VR about Brain Injury Goal 2: Educating the Public About Benefits and Working with Brain Injury Goal 3: Self-Employment and Volunteer Opportunities
If you addressed Training and Education, which Goal applied? --- Select Choice --- Goal 1: Expand Learning Opportunities for Students, Workforces, Caregivers, and Communities Goal 2: Create Alliances with Organizations to Support Community Education on Brain Injury Prevention
Describe the Activity/Action Step you completed to address a Goal: *
Which Priority Did You Address? (Activity #2) * --- Select Choice --- Advocacy and Prevention Social and Recreational Support Independent Living Services Employment/Vocational Services Training and Education
If you addressed Advocacy and Prevention, which Goal applied? (Activity #2) --- Select Choice --- Goal 1: Enhance Self-Advocacy Skills of Individuals Living with Brain Injury Goal 2: Pursue Funding Opportunities for Awareness Education Goal 3: Advocate in Legislative and State Agency Systems Goal 4: Increase Prevention Strategies and Public Education Awareness
If you addressed Social and Recreational Support, which Goal applied? (Activity #2) --- Select Choice --- Goal 1: Identify Accessible Facilities and Activities in Our Communities Goal 2: Promote Support Group that are inclusive and Available Statewide
If you addressed Independent Living Services, which Goal applied? (Activity #2) --- Select Choice --- Goal 1: Promote Person-Centered, Trauma-Informed Practices to Support Workforces, Communities, and all Types of Caregivers Goal 2: Enhance Caregiver Awareness, Workforce Development, and all Aspects of Independent Living
If you addressed Employment/Vocational Services, which Goal applied? (Activity #2) --- Select Choice --- Goal 1: Working with Vocational Rehabilitation (VR) and Education VR about Brain Injury Goal 2: Educating the Public About Benefits and Working with Brain Injury Goal 3: Self-Employment and Volunteer Opportunities
If you addressed Training and Education, which Goal applied? (Activity #2) --- Select Choice --- Goal 1: Expand Learning Opportunities for Students, Workforces, Caregivers, and Communities Goal 2: Create Alliances with Organizations to Support Community Education on Brain Injury Prevention
Describe the second Activity/Action Step you completed to address a Goal: *
Can the Brain Injury Association of Kansas and Greater Kansas City contact you for additional information if needed? (Activity #2) * --- Select Choice --- Yes No
