First-Time User Survey

Disability Benefits 101: working with a disability in California

Printer-Friendly

E-Mail This Page to a Friend

Most Popular Pages

Comment on This Page

	DB101 Close-Ups

	Benefits at 18

	Calculators

	All Calculators

	Benefits to Work

	Job to Job

	School and Work

	Medi-Cal for the Working Disabled

	PASS

	Life Situations

	Newly Diagnosed

	Youth & Disability

	Workforce Re-Entry

	Sudden Onset

	Income Support

	State Disability Insurance (SDI)

	Social Security Disability Programs

	Short Term Disability Insurance

	Long Term Disability Insurance

	CAPI

	PASS

	CalWORKs

	Pell Grants

	IHSS

	Health Coverage

	Private Health Coverage

	Medi-Cal

	Medicare

	Prescription Drug Coverage

	Your Rights

	COBRA & Continuation Coverage

	HIPAA & California Protections

	On the Job

	CA Disability Employment Policy

	Ticket To Work

	Workplace Personal Assistance

	Individual Development Accounts (IDAs)

	Earned Income Tax Credit (EITC)

	Work Opportunity Tax Credit (WOTC)

First-Time User Survey

If you're new to Disability Benefits 101, we ask that you please fill in the short Pre-Use Survey below. The results of this important survey will immediately help us make the site more effective.

Your responses are completely anonymous. You will not be asked for any information that might identify you, and your responses will be treated as confidential information. No individual results will be shared with any government agency or other organization.

Your help is greatly appreciated!

I am seeking information about disability benefits for:
(Select only one response)

Myself
Relative or friend
Client at an organization where I work or volunteer
Other (please specify)

I am interested in information about the following:
(Check all that apply)

The 250% California Working Disabled Program (Medi-Cal for working persons)
Medi-Cal
Medicare
Health benefit protections (COBRA, OBRA, Cal-COBRA, HIPAA, AB1672)
Private health coverage
Public disability income programs (SDI, SSI, SSDI, CAPI - Cash Assistance Program for Immigrants)
Private disability income (short and long term disability insurance)
Ticket to Work Program or other employment support/services
Prescription drug coverage (Patient Assistance Programs, SB 393, AIDS Drug Assistance Program, Medicare Part D)
Plan for Achieving Self-Support (PASS)
Scholastic aid (Pell Grants)
CalWORKs
Tax Credits (Earned Income Tax Credit, Work Opportunity Tax Credit)
Workplace personal assistance (PAS, IHSS)
Working, or the effect of work on disability benefits
Other programs (please specify)

Please rate your knowledge of the following programs and services by using the scale below:
(Select only one response for each statement)

Very Low	Low	Moderate	High	Very High
					General knowledge of disability benefit programs
					The 250% California Working Disabled Program (Medi-Cal for working persons)
					Medi-Cal
					Medicare
					Health benefit protections (COBRA, OBRA, Cal-COBRA, HIPAA, AB1672)
					Private health coverage
					Public disability income programs (SDI, SSI, SSDI, CAPI - Cash Assistance Program for Immigrants)
					Private disability income (short and long term disability insurance)
					Ticket to Work Program or other employment support/services
					Prescription drug coverage (Patient Assistance Programs, SB 393, AIDS Drug Assistance Program, Medicare Part D)
					Plan for Achieving Self-Support (PASS)
					Scholastic aid (Pell Grants)
					CalWORKs
					Tax Credits (Earned Income Tax Credit, Work Opportunity Tax Credit)
					Workplace personal assistance (PAS, IHSS)
					Knowledge of how working affects disability benefits

Please use the scale below to indicate how the following statements apply to the individual with a disability (self, family member, friend, or a client at an organization where you work or volunteer).
(Select only one response for each statement)

Strongly Disagree	Disagree	Agree	Strongly Agree
				I am currently interested in changing my work status (becoming employed or changing employment)
				Information about disability health and income benefits will influence my decisions about becoming employed or changing employment