Assistive Technology of Ohio Device Lending Library
Thank you for taking a few moments to help us by filling out this important survey.
Name (Last, first)
Your answer
What library did you check out the device / toy from? *
Please select from the drop-down list
What is the name of the toy you checked out? *
Please check out the name on the toy...
Your answer
What category of person checked out this device or toy?
What was the primary purpose for checking out this device? *
What area of life will this device/ toy help with?
This device will help in the area of...
What area will the device / toy be used in?
Please select the area of life the device is going to be used in...
What answer best describes the experience of the borrower? *
How would you rate your level of satisfaction with the device borrowed? *
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