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1. Who is your wireless service provider? (Required.)

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2. Do you have an online account with your wireless service provider? (Required.)

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3. Do you view or pay your wireless bill online? (Required.)

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

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5. What state do you live in? (Required.)

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6. What is your gender? (Required.)

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7. What is your age? (Required.)

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8. What is your disability category? (Required.)

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9. What assistive technology do you use? (Required.)

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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.) (Required.)

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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. (Required.)

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