EMBOSSER Customer Satisfaction Survey

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* 1. First Name

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* 2. Last Name

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

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* 4. Agency/School Name

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* 5. Agency/School Address (street, city, state, zip code)

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

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* 7. Work Phone Number

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* 8. Email Address

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* 9. How did you initially learn about the availability of embossers?

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* 10. Ideally, how many embossers do you (or your agency) require to address your current braille and tactile graphic demand?

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* 11. Which embosser(s) did you (or your agency) purchase from APH?

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