Thank you for expressing your interest in being involved in AT Chat's Living Lab co-design activity.
AT Chat is collating stories from our community of AT users regarding how they believe an Assistive Technology Peer Mentor could assist them to make decisions about AT and facilitate them to reach their goals.
By completing this survey you confirm your interest in sharing your story and consent to an AT Chat team member potentially contacting you for more information.

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* 1. Please fill in your details below:

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* 2. Are you an assistive technology user?

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* 3. How would you describe your disability?

We are asking this question because we want to make sure we collect and understand views that reflect the diversity of disability.

Please select all that apply