ND Assistive-Reeves Smart Home Tour Survey

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* 1. Before your tour of the NDAssistive Smart Home, please rate your knowledge level of smart home assistive technology on a scale of 1-10, where 1 is “you know absolutely nothing” to 10, which is “you know all about it, you’ve tried it, and you understand the benefits for people with paralysis”.

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* 2. After your tour of the ND Assistive Smart Home, please rate your knowledge level of smart home assistive technology on a scale of 1-10, where 1 is “you know absolutely nothing” to 10, which is “you know all about it, you’ve tried it, and you understand the benefits for people with paralysis”.

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* 3. Which of the following best reflects your level of satisfaction with the services you received?

Highly Satisfied

Satisfied

Somewhat Satisfied

Not at All Satisfied

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* 4. What is your COUNTY of residence?

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* 5. (Optional) Comments?

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* 6. (Optional) Name and Contact Info

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number