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* 1. First Name

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* 2. Last Name

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* 3. Email

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* 4. What is your job title(s)? [Check all that apply.]

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* 5. Agency/School Name

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* 6. Type of Instructional Setting [Check all that apply.]

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* 7. How did you initially learn about the availability of Juno?

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* 8. How many Juno devices do you (or your agency) require to address the low vision needs of students/clients/consumers?

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* 9. The number one feature I like on this device is:

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* 10. Give an example of how you successfully used Juno to complete a task.

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* 11. Give an example of how you struggled using Juno to complete a task.

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* 12. Please explain anything else you would like us to know about your experience using Juno.

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* 13. Comments:

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