Survey of Needs For Persons with Developmental Disabilities


This questionnaire is for persons who:

·        Have a disability that occurred before the age of 22 and

·        Do not have a diagnosis of mental retardation.


This is not an application for services. Please complete the questionnaire only once even if you receive more than one copy. This questionnaire is intended to assist the Developmental Disabilities Task Force that was established by the Tennessee legislature to identify needs and to plan for services that are needed by persons who have developmental disabilities other than mental retardation.

If you would prefer a paper version of this questionnaire, a pdf version of the questionnaire is available.  Click here DDNeeds Survey then print a copy.


Please return the completed paper copy of the survey within 7 days so that your information can be used for the Task Force’s report. Please return the survey to:

DD Task Force; c/o UCP of Middle Tennessee

1200 9th Avenue North, Suite 110; Nashville, TN  37208



If you would like to complete the questionnaire, click here START Now

If you would like to leave this site, click here QUIT or close you browser window.


For additional information about giving consent or your rights as a participant in this study, please feel free to contact the Vanderbilt University Institutional Review Board Office at (615) 322-2918 or toll free at (866) 224-8273