Name: A SAMPLE SURVEY
Type: Public Building
Address: 111 Main Street
City: Someplace, NY 00000
Phone: (631) 555-1212
Web Site: www.nobarriers.org

Access to a site's Approach and Entrance
Includes route of travel, ramps, parking and drop-off areas, and accessibility of entrance

Access to Goods and Services Within the Site
Includes getting around (lobby, halls, elevators, stairs, etc.), doors, rooms and spaces, emergency egress, signs, controls (light switches, etc.), seats, tables, and counters

Access to Restrooms and Usability of Restrooms
Includes getting to the restroom, doorways and passages, stalls, and lavatories

Additional Access
Includes drinking fountains and telephones