Skip survey header

Work Without Limits Benefits Counseling Interest Survey

Interest Survey


Please answer the following...
1. I am currently receiving Social Security disability benefit payments (SSI and/or SSDI). *This question is required.
Since you do not receive SSI and/or SSDI, we are unable to provide you benefits counseling at this time.  You can call Social Security’s Ticket-to-Work Toll-Free Help Line at 1-866-968-7842 (For TTY Users: 1-866-833-2967) for further assistance.
2. I am open to earning money from work and slowly using fewer disability benefits. *This question is required.
2. I would like help navigating my benefits as I work. *This question is required.
2. My goal is to go off my benefits entirely and support myself through employment. *This question is required.
2. What BEST describes your current employment status? (select one) *This question is required.
2. What county do you live in? (select one) *This question is required.
2. The best way to reach me is: (select one) *This question is required.
2. How did you learn of this survey? *This question is required.
3. I am filling this survey out for: *This question is required.
0%