Informed Consent

You are being asked to participate in this research study because you have received
assistive devices and/or adaptations to help you better function in your environment. The purpose of this research study is to help physicians, therapists, engineers and others to better design, prescribe and implement assistive devices and adaptations for those who could benefit from them.
 If you agree to participate, we will ask you to answer some questions about the devices you’ve received in the past, how satisfied you’ve been with them, and your thoughts about the way you typically receive equipment. This should take less than 30 minutes however you’re welcome to take all the time you need and we encourage your input.
We don’t anticipate any significant risk to you as a result of your participation in this study. In discussing your physical challenges and equipment, you may experience strong feelings associated with the recollection of your treatment experiences.

Your participation in this research is voluntary. If you have any questions about this study, you can contact J. Adler via email at If you have any questions about your rights as a research participant or if you would like to talk to someone other than the researcher, you can contact the City University of New York (CUNY) Research Compliance Administrator at 646-664-8918.

Question Title

* 1.
Click here if you've read the above statement and agree to participate....

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* 3. If you live in the US, in what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)