Self-Identification Survey

February 3, 2022

Dear campus community:

UC Berkeley recognizes that people with disabilities may require assistance in the event of an emergency. We therefore ask that all faculty, staff, and students with disabilities who believe that they may need assistance during an emergency evacuation complete this online confidential Self-Identification Questionnaire

The results will be accessible to the Office of Disability Access & Compliance (DAC) and shared with campus partners only to that extent required for facilitating assistance in an emergency. DAC can also help interested survey respondents develop a personal emergency plan that includes specific evacuation procedures, sheltering procedures, and means of communication in the event of an emergency.

If you have questions now or when you complete the form, please contact the DAC office at

DAC would like to thank the faculty, staff and students with disabilities who helped develop this survey, and our partners in web access, privacy and security for ensuring the accessibility and propriety of the platform and design.


Ella Callow, JD
Executive Director, Disability Access & Compliance

Marc Fisher
Vice Chancellor, Administration