1) Select your role when using this website:
Select One
Person with a Disability
Family Member
Caregiver
Advocate
Rehab Service Provider
Employer
Educator
AT Vendor
Other Role
If "other role", please specify:
2) Select the area of disability related to your
use of this website:
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Coordinating Movements / Manipulating Objects Health-Related Hearing Maintaining Posture / Changing Position Mental Function Mobility Oral Motor / Swallowing Seeing Sensing Odors and Flavors Touch and Pain Voice and Speech
3) Select the purpose for visiting this website:
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Specific AT Product
General AT Information
Disability-related resource
Information about assistivetech.net
Other Purpose
If "other purpose", please describe:
4) Were your assistive technology information
needs met by this website?
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Fully Met
Partially Met
Not met at all
If your needs were not met, please describe:
5) How did you find this website?
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Search Engine
Link from another website
Referral from disabilty-related resource
Received assistivetech.net marketing material
Other Method
If "other method", please describe:
6) How many times have you visited this website?
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First Time
2-3 Times
4-5 Times
More Than 5
7) Was it easy to find what you were looking for
on this website?
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Yes
Sometimes
No
If you had difficulty finding information,
please describe:
8) Was the look and feel of this website pleasing?
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Yes
Somewhat
No
If no, please describe how the website look can
be improved:
9) Did you experience any accessibility problems
while using this website?
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No
Sometimes
Yes
N/A
If you had any accessibility problems, please describe:
10) Did the information on this website meet your
needs?
Select One
Yes
Somewhat
No
If your needs were not met,
please describe:
11) Were the links to other websites relevant and appropriate?
Select One
Yes
Somewhat
No
12) Was the website information current?
Select One
Yes
Sometimes
No
13) Did this website improve your awareness of assistive
technology (AT)?
Select One
Yes
Somewhat
No
If no, please describe how AT awareness can
be improved:
14) Rate your overall satisfaction with the
search feature of this website:
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Very Satisfied
Somewhat Satisfied
Somewhat Dissatisfied
Very Dissatisfied
Did Not Use
If not satisfied, please describe how the search
can be improved:
15) Rate your overall satisfaction with the assistivetech.net website:
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Very Satisfied
Somewhat Satisfied
Somewhat Dissatisfied
Very Dissatisfied
If not satisfied, please describe the website
can be improved:
16) What is your level of computer expertise?
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Basic
Average
Above Average
Exceptional
17) Gender:
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Female
Male
18) Age:
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Under 20
20 - 35
36 - 50
Over 50
19) Highest level of education:
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8th Grade or Less
Some High School
High School Diploma or GED
Some College
College Degree
Advanced Degree
20) Suggestions to better meet your needs:
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