On the 20th anniversary of the signing of the Americans with Disabilities Act, people with disabilities are still facing the same lifestyle and economic challenges they confronted in 1990. According to a 2010 survey sponsored by Kessler Foundation and the National Organization on Disability (NOD) and conducted by Harris Interactive, there have been little to no substantial gains in 10 key indicators: employment, income, education, health care, access to transportation, socializing, going to restaurants, attendance at religious services, political participation and life satisfaction.