Assistive Technology of Ohio Computer Refurbish and Recycle Survey

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Please help us improve our services by filling out this very brief survey about the computer you received through the A.T. Ohio Computer Refurbish and Recycling Program

What is your name? (optional)

last, first

How satisfied are you with the performance of your computer? *

Choose the answer that best applies...

Highly satisfied

Satisfied

Neither satisfied nor dissatisfied

Somewhat satisfied

Not at all satisfied

Required

Which of the following statements best describes why you went through Assistive Technology of Ohio (AT Ohio) to get a computer. *

Choose the answer that best applies...

Could only afford through the state AT program

Computer was only available through the state AT program

Computer was available through other programs, but the system was too complex or the wait was too long.

None of the above.

In what area has the computer had an impact on your life? *

Please indicate the one that best fits...

Employment

Community Living

Education

Required

Which statement best describes your situation? *

Please indicate only one....

The AT Ohio computer is my first computer

I used to own a computer, but did not currently own one

I have other computers as well as my AT Ohio computer

Required

Overall, how satisfied were you with the services of Assistive Technology of Ohio in the computer-refurbishing program? *

Please indicate the level which best applies....

Highly satisfied

Satisfied

Neither satisfied nor disastisfied

Somewhat satisfied

Not at all satisfied

Required

How can Assistive Technology of Ohio improve our services to you?

Please post any comments or suggestions here - begin typing in space below. Thank you!!!

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