Review the RAD Prism Glasses
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First Name *
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Last Name *
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Email *
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Name of Participant
Leave blank if same name as reviewer
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The Participant of the Study is my:
How long has the Participant been using the RAD Prism?
Participant Gender
Age of Participant
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Participant Location
City, State or Country
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Prism # Selected/ Used?
Rate level of Improvements with the RAD Prism Glasses *
Please indicate the degree of improvement that the participant has experienced while using the RAD prism Glasses
Significant Improvement
Some Improvement
Minor Improvement
No Improvement
Letter/Word Reconition
Depth Perception
Color Perception
Readability of Handwriting
Over All Confidents
How has or will the RAD Prism change your life?
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Comments about Assessment
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How did you hear about the RAD Prisms
Current Educational Status of Participant
Profession of Participant
example: Student, Builder, Engineer etc.
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General Comments
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Rate service by Dyslexia Solutions
What could we do better?
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