Voters with Disabilities Experience Survey Part two

Please be sure to complete both Part one and Part two of this survey

Question Title

* 1. How did the poll workers or judges make you feel or treat you? Check all that apply.

Was treated professionally

Was treated with respect

Was rushed

Was treated like I was a bother

Was treated with patience

Was treated like I could not vote by myself

Other (please explain)

Question Title

* 2. Were you able to vote privately (where no one else could see your ballot)?

YES

If NO, please explain:

Question Title

* 3. Were you able to vote independently?

YES

If NO, please explain:

Question Title

* 4. Did the poll worker or judge offer you to use an accessible voting machine? Check all that apply

YES

I did not feel I needed one

I did not want to bother anyone

I did not know how to operate the accessible voting machine

I requested a Provisional of Affidavit Ballot

There was no accessible voting machine at my polling place

The accessible voting machine was not up and running

Does not apply

Other (please eplain)

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* 5. How long did you wait to use the accessible voting machine?

Waited less than 15 minutes to use the accessible voting machine

Waited more than 30 minutes to use the accessible voting machine

No problems using the accessible voting machine

Does not apply

Question Title

* 6. Did the poll workers or judges have any problems setting up or activating the accessible voting machine?

Could not find the headsets

Could not turn on the screen

Did not know how to activate the identification card

Did not know how to activate the audio features

Did not know how to adjust the volume

Does not apply

Other (please tell us)

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* 7. Did the poll worker or judge give you clear instructions on how to use the accessible voting machine?

YES

I did not need instructions on how to use the accessible voting machine

The instructions were too complicated or hard to understand

Does not apply

Question Title

* 8. Did you experience any problems operating the accessible voting machine while casting your vote? If yes, what happened? Check all that apply

I could not change my selections

I could not review my selections

I could not use the language I selected (i.e. Spanish, Chinese, etc...)

I could not adjust the audio speed

I was unable to turn the monitor on

Does not apply

Other (please explain)

Question Title

* 9. When you used the accessible voting machine, did you use: (check all that apply)

Large print

Regular print

Audio, non-visual

Does not apply

Other (please explain)

Question Title

* 10. Were you able to cast a secret ballot using an accessible voting machine? Check all that apply

YES

Did not use the accessible voting machine

No working accessible voting machine

The poll worker or judge could not operate the voting machine

The poll workers or judges could not find the headsets

The voting machine was not in a private area

Does not apply

Other, please tell us what happened: