#accessible door

This is a form that can be filled out in order to both evaluate businesses and provide necessary information to anyone who is concerned about accommodations. I created this form for the purpose of creating an accessibility review blog for my local area, but I would love if other people were able to use it.

Feel free to use and spread.

@accessibilityfails This blog was largely responsible for my coming up with the idea

[Image Description: Two photos showing two laminated pages with the following text... "Accessibility Review

Location: (blank space)

Address: (blank space)

Parking Access

Parking? Yes or No. Location type: Lot / Street / Other (blank space)

Accessible Parking? Yes or No. Distance from Entrance: (blank space)

Any Barriers or Obstacles from Parking to Entrance: (blank space)

Public Access

Sidewalk to entrance? Yes or No. Condition: (blank space)

Bike stands? Yes or No

Nearest Bus Stop: (blank space) Distance from entrance: (blank space)

Business name/logo/address clearly visible? Yes or No

Entrance/Exit Access

Most accessible entry point: (blank space)

Accessible doors? Yes or No. Type of accessible door: Auto / Small Button / Large Vertical Button

Curb or step? Yes or No (number of) Inches. Stairs? Yes or No (number of) Steps

Ramp? Yes or No. Incline? Good / Okay / Steep

Any other usable entrance/exit points: (blank space)

Indoor Access

Enough Space to Maneuver Mobility Aids? Yes or No

If not, state reasons or obstacles: (blank space)

Floor Texture: Rough, Matte (safer for cane users) / Smooth, Shiny (more hazardous for cane users)

Uneven Flooring? Yes or No. If so, how severe: Slight Sloping / Noticeable Sloping

Seating Available? Yes or No. Type of Seating: (blank space)

Additional Floors? Yes or No. Elevator Access? Yes or No

Bathroom Access

Bathroom? Yes or No. Customer Only? Yes or No. Accessible Stall? Yes or No

Accessible Bathroom? Yes or No. Accessible Door? Yes or No

Accessible Amount of Space? Yes or No

Grab Bar? Yes or No. Placement: (blank space)

Change Table/Area? Yes or No. Supports: Children Only / Children or Adults

Sink/Soap/Towels Reachable by Wheelchair? Yes or No

Any Additional Features or Issues: (space for writing)

Available Accommodations

Disability Services? Yes or No. Contact for Accommodations: (blank space)

Sign Language Interpreting (specify): (blank space)

Spoken Language Interpreting (specify): (blank space)

Subtitles: In Spoken Language / Other: (blank space)

Mobility Aids: Borrow / Rent ($_____). Electric Cart / Electric Chair / Manual Chair / Walker

Sensory Information

Lighting: Bright / Well Lit / Dim Direct / Indirect. Florescent / Incandescent / Other

Loud Sounds? Yes or No Continuous? Yes or No. Description: (blank space)

Background Sounds: (space for writing)

Scents: (space for writing)

Temperature: Above 24C / 24C – 21C / Below 21C

Air Quality: Clear / Dusty / Smoky / Other: (blank space). Well Ventilated / Adequate / Stuffy

Praise, or pleasant surprises: (space for writing)

Criticisms, or negative experiences: (space for writing)

Have you ever approached your front door with an arm full of groceries or your hands on a stroller or walker and wished you could push a button and the door would open? Kind of like the easy way businesses let you get in with doors that open automatically…well, it is possible if pre-planning is done. Allow for a power outlet adjacent to the door that you want to have an automatic opener installed on. If your not ready for the expense of the opener now, at least you’ll be prepared. Search for residential door openers when shopping for the hardware. Getting in your home is the first priority when planning “Homes for Life”.