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National Core Indicators Project: Aging and Disabilities Survey Documents

Below are documents mailed to older adults and adults with disabilities who receive state services and were randomly selected to participate in the National Core Indicators Aging and Disabilities Survey (NCI-AD). Note: Multiple mailings occur throughout the year. Therefore, the date on your letter may be different than the letter on this webpage.


Documents

NCI-AD Notification Letter

NCI AD notification letter

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NCI-AD Flyer

National Core Indicator Aging & Disability Survey infographic

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NCI-AD Consent Form

National Core Indicator Survey Consent Form

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Notification Letter - Spanish

NCI AD notification letter in Spanish

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NCI-AD Flyer - Spanish

Image of page 1 of P-02235 in Spanish

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NCI-AD Consent Form - Spanish

Knowledge Services Consent Form - Spanish

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The Wisconsin Department of Health Services (DHS) is currently conducting the National Core Indicators Aging and Disabilities Survey (NCI-AD) for older adults and adults with physical disabilities. This survey is part of a nationwide project called National Core Indicators. DHS is doing the survey to learn more about how to help people in Wisconsin who are getting long-term care. The survey information will be used to improve services and better understand people’s needs.

Last revised October 30, 2023