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Your UCP: National September 08, 2003
Products & Services

Assistive Technology

Consumer Survey on Communicative Effectiveness

VERSION A: ADULTS WHO USE VOICE OUTPUT COMMUNICATION DEVICES (V.2.1)

Graciela Slesaransky-Poe, Ph.D.

Instructions

Please read all the questions carefully. If a person is assisting you in answering the questions, make sure that the responses are yours. This questionnaire was developed for people with significant speech disabilities. Therefore, the responses are valid only if the person with the speech disability is the one giving the answers.

The questions are very simple to answer. You don't have to give long responses. All of the questions are answered in a scale from 5 to 1. If you don't understand a question, please ask the person assisting you to repeat it as many times as you need.

There are no right or wrong answers. Chose the response that best reflects what you think about your communication.

What if I have questions?

If you have any questions about how to answer any of the Survey questions, contact Lewis Golinker, Esq., Director, Assistive Technology Law Center, voice: 607-277-7286.

How long will it take to complete this Survey?

It will take approximately 15-20 minutes to answer the Consumer Survey on Communicative Effectiveness. If you feel tired, feel free to take a break and resume answering after that.

What if I get more than one Survey?

If is possible you will receive more than one Survey. Please complete and return only one.

Where do I send the completed Survey?

Please complete the Consumer Survey on Communicative Effectiveness as soon as possible. When you have completed it, please send it by mail, fax or E-mail to:

    Lewis Golinker, Esq.
    Assistive Technology Law Center
    202 East State Street, Suite 507
    Ithaca, New York 14850
    voice: 607-277-7286
    fax: 607-277-5239
    E-mail: lgolinker@aol.com

If you are ready now, let's begin!

Attachments:
PDFAAC Survey (55 kb.)


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