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* 1. Who is your wireless service provider?

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* 2. Do you have an online account with your wireless service provider?

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* 3. Do you view or pay your wireless bill online?

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* 4. Have you made an online purchase (of anything) within the past 6 months?

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* 5. What state do you live in?

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* 6. What is your gender?

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* 7. What is your age?

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* 8. What is your disability category?

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* 9. What assistive technology do you use?

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* 10. What is your name? (We need this so we can match your survey responses to your name in the AccessWorks database and contact you about the upcoming studies.)

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* 11. In case we have questions, please provide at least one method of contacting you, for example, your email address or phone number.

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