Register Login Info First Name Last Name E-mail* City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Organization Name* Organization Type Area Agency on Aging (AAA)Center for Independent Living (CIL)Educational or research organization (e.g.higher education institutionresearch centerUniversity Center for Excellence in Developmental Disabilities (UCEDD))Faith-based organization (e.g.Jewish Family Services)Government department of healthagingdisabilitymental/behavioral health Is your organization part of a CBO network?YesNo What is the name of that network? Set Password Password* Minimum length of 10 characters. The password must have a minimum strength of MediumStrength indicator Repeat Password* * ContactYesIt is okay for the Aging and Disability Business Institute to contact me about my satisfaction with these tools or to follow up with your organization to learn more about your experiences in partnering with health care entities.To ensure that our assessment tools are as useful and effective as possible, we may contact you to learn about your satisfaction with using the tools. We may also follow up with your organization to learn more about your experiences in partnering with health care entities and the changes made at your organization to initiate or improve upon the partnership process as a result of your use of our assessment tools.Note*None of the information provided when completing these assessment tools will be shared without your permission and is only used to improve our understanding of the usage of these tools.Send these credentials via email. Ready to begin? Click here to login.