Tester Questionnaire
We appreciate your time. Your participation will help other people with disabilities across North Carolina.
Email address *
First Name *
Your answer
Last Name *
Your answer
Are you a North Carolina resident? *
Are you at least 17 years of age? *
Address (Please Include City & Zip) *
Your answer
County of Residence *
Your answer
Phone Number *
Your answer
Do you currently have a North Carolina ID? *
If you do not have a current North Carolina ID, have you ever had a valid North Carolina ID? *
Are you registered to vote? *
In order to match you with the appropriate testing opportunities, please let us know what kind of disability/disabilities you have. We will ask you about any accommodations you may need at a later time. *
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