Product Fit Quiz

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Product Fit Quiz

Thank you for your interest in the Sunu Band.
The purpose of this Quiz is to anticipate if the Sunu Band would be a good fit for your mobility.

Email *

Who are you? *

A person with a visual impairment

A sibling or friend of a person with a visual impairment

A parent of a person with a visual impairment

An Orientation and Mobility Specialist

Other:

First Name *

Last Name

Phone number

We won't share your personal information.

If you are not the user, please fill the form with the user information.

You can fill the form multiple times for every user you want to explore a fit.

Age *

Under 10

Between 10 and 15

Between 16 and 45

Between 46 and 70

Over 70

Country *

United States

Mexico

Other:

Select the option that best describes you: *

I have low vision, I can identify obstacles most of the time

I have low vision, I cannot identify obstacles in specific situations (lack of light or excess light)

I have low vision, I can't identify obstacles most of the time

I have total blindness

In addition to your visual disability, do you have any other type of disability? select all that apply: *

Hearing disability

Motor disability

Cognitive disability

Psychosocial disability

Does not apply

Required

How long has it been since you have been visually impaired? *

Since birth

Less than a year

Less than two years

Less than five years

More than five years

What mobility tool do you use? *

White Cane

Guide dog

I am always accompanied by a sighted guide

I don't use mobility tools

Required

Select all the technological tools you use: *

IOS phone

Android phone

Computer

IOS tablet

Android tablet

Screen reader (NVDA/JAWS/Voice Over/etc)

GPS applications (Google Maps/BlindSquare/Lazarillo/etc)

OCR applications (KNFB Reader/Seeing A I/etc)

Vision assistance applications (Be my eyes/Seeing AI/TapTapSee/etc)

Required

Select the option that best describes you: *

I usually move through unfamiliar places without the help of a sighted guide, using my mobility tools.

I move without the help of a sighted guide but only to familiar places.

I do not usually go out if I am not accompanied by a sighted guide.

Select the option that best describes you: *

I prefer to stay at home and avoid doing outside activities.

I do a few activities outside but I'd like to be more active.

I do various activities outside but I'm not interested in doing more than I am used to.

In addition to my obligations, I practice a sport, or recreational activity.

Select all the options that describe you:

I have a rehabilitation specialist who usually guides me.

I have an orientation and mobility specialist who usually guides me.

I have a technology specialist who usually guides me.

My family encourages me to be more independent.

My friends push me to be more independent.

Why are you interested in the Sunu Band? *

To avoid having to use a cane or guide dog.

To complement my other tools and improve my mobility.

Submit

Clear form

Never submit passwords through Google Forms.

Forms

This form was created inside of Sunu Inc..