I currently reside in:
I identify as (choose all that apply):
I identify as a person that faces daily barriers because of (choose all that apply):
I use any of the following (choose all that apply):
My preferred way to access government services is (choose all that apply):
I have regular access to (choose all that apply):
I am confident I can complete the following activities on my mobile device without help (choose all that apply):
Do you access government services on behalf of any of the following?