Assistive Technology Feedback Survey Form
We value your feedback to improve our assistive technology products and services.
How often do you use assistive technology?
Daily
Weekly
Monthly
Rarely
Never
Which assistive technology products do you use? (Select all that apply)
Please rate your overall satisfaction with the assistive technology products you use.
1
2
3
4
5
What do you like most about the assistive technology products?
What improvements would you suggest for the assistive technology products?
Would you recommend our assistive technology products to others?
Yes
No
Maybe
Submit
Should be Empty: