Dac Message 130

<b>Mobility</b><br>
Check all boxes related to the mobility assistance that has been adversely affected by the disaster.<br><br>

<b>Cognitive/Developmental Disabilities/Mental Health</b><br>Check all boxes related to the cognitive/mental health assistance that has been adversely affected by the disaster. If this type of assistance is not a personal assistant, enter the text of the other type of cognitive/developmental disabilities or mental health assistance in the Other box.<br><br>

<b>Hearing or Speech</b><br>Check all boxes related to the hearing or speech assistance that has been adversely affected by the disaster.<br><br>

<b>Vision</b><br>Check all boxes related to the vision assistance that has been adversely affected by the disaster.<br><br>

<b>Other</b><br>
If there is some other special needs that were affected by the disaster that are not mentioned above, please type in a word or phrase to describe the special needs.