Adult Changing Station Survey

Please indicate your advocacy position:*

I am a person who uses diapering to accommodate my toileting needs.I am the primary caregiver who lives with an individual who uses diapering to accommodate their toileting needs.I am a care giver or direct service provider that works with individual(s) who use diapering to accommodate their toileting needs.I am an advocate for more adult changing stations in San Antonio.

What is your age?*

What is the age of the person your care for? *

Are there appropriate changing accommodations available in your child's school?*

YesNo

Please describe the accommodations:*

How do you currently accommodate for the diapering needs for yourself or the person you care for outside the home?*

Please select all that apply. Hold the shift key to select more than one option.

If Other, please explain*

Are you familiar with public spaces or private businesses where adult changing stations are currently located in San Antonio? If yes, where? If no, mark N/A.*

Would San Antonio benefit from the installation of adult changing stations in public places?*

YesNo.

Why is it important to have adult changing stations available in public spaces?*

What public spaces do you frequent?*

In what private businesses or spaces would you like to see adult changing stations available?*

Do we have your permission to share your responses with your city council district staff?*

Yes, please do.No, not at this time.