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AT Device Return

AT Device Return

Please answer the following questions about the services you received. This information is needed to provide high quality services and to meet the requirements for receiving federal funding.
5. Primary purpose for which I need an AT device or service is related to. (check one) *This question is required.
6. Satisfaction Level (check one)Highly satisfied *This question is required.
7. If device was used to assist in decision making:
What kind of decision about AT devices or services were you able to make after your device loan? (check one) *This question is required.
8. If device was used to conduct training, self education or serve as a loaner during device repair or while waiting for funding:
Why did you choose to obtain an AT device from this program? (check one) *This question is required.
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