Respondent Information

The first 6 questions pertain to the respondent or contact person.

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* 1. Respondent's Name

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* 2. Respondent's Email and/or Work Phone Number

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* 3. Are you currently an APH Ex Officio Trustee?

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* 4. What is your current title?

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* 5. What is your role with regard to assessing students who are blind and visually impaired?

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* 6. Do you serve and/or represent students and/or clients who are in:

  Yes No Uncertain
residential schools for the blind
public schools
private schools
rehabilitation programs
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