HI Retrofit for Disability | Modify Home for Disabled

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ZIP/Postal Code (Location of Request): *
What is the nature of the disability? (Check all that apply) Wheelchair Walker Impaired vision Impaired hearing Impaired strength/motion range (reaching, bending, lifting) Sense of touch/dexterity (gripping, turning, twisting knobs etc.) Loss of balance, coordination Sense of smell Cognitive issues (dementia, Alzheimer's, memory loss) Other Where are you having trouble in the home? (Check all that apply) Getting in and outside Moving from room to room Opening doors/turning knobs Getting up and down Hallway(s) Bathroom(s) Kitchen Stairs Closet(s) Bedroom(s) Lighting Floors Outdoors (garage, walkways, driveway) Other What kind of residence is it? One-story single family home Two-story single family home Unit on ground floor of multi-family residence (condo, townhouse, apartment etc.) Unit on upper floor of multi-family residence (condo, townhhouse, apt., etc.) Separate apt./quarters adjacent to family residence Other
Step - Describe Your Modify a Space to Accommodate a Disability Need in Hawaii