POLLING PLACE ACCESSIBILITY SURVEY Polling Place Name: _____________________________________________________________________________ County: ____________________________________________ Date/Time:_________________________________ Address of Polling Place: _________________________________________________________________________ Surveyor’s Name: ____________________________ Phone/ Email: ______________________________________ Have you taken pictures that go with this survey? __ Yes __ No (send to helen.hellmuth@drny.org)
Parking 1.)
Is parking available to voters?
Yes No
2.)
A.) Are there designated accessible parking spaces?
Yes No NA
B.) If yes, do they have visible signs mounted 5’-7’ above the ground?
Yes No NA
A.) Does each accessible parking space have an access aisle or shared access aisle? If no, please provide photo.
Yes No NA
B.) If yes, do they have visible signs mounted 5’-7’ above the ground reading “No Parking Any Time”?
Yes No NA
4.)
Is there at least one access aisle that is no less than 8’ wide?
Yes No NA
5.)
Are the accessible parking spaces on the shortest route to the voting entrance?
Yes No NA
6.)
Is there a clear and level path of travel from the parking spaces to the entrance with no stairs, curbs, or other physical barriers? (e.g. abrupt level changes) If no, please provide photo.
Yes No
7.)
Is the parking lot and walkway solid, firm, and slip resistant? If no, please provide photo.
Yes No
8.)
A.) Does the polling place have an accessible drop off area close to the entrance?
Yes No
B.) If yes, is the path of travel from the drop off location to the entrance free of stairs, curbs, or other physical barriers? (e.g. abrupt level changes) If no, please provide photo.
Yes No NA
Are there adequate signs directing voters from the parking lot or accessible drop off area to the voting entrance?
Yes No
3.)
9.)
Comments: