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TechKnowledgeMe Follow Up Survey
TechKnowledgeMe
We will not share your name or contact info with any other organization.
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1.
First Name
(Required.)
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2.
Last Name
(Required.)
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3.
I am a:
(Required.)
Self advocate (person with IDD)
Family member of a person with IDD
Other
4.
What type of area do you live in?
Urban - do you live in a city?
Suburban - do you live close to a city?
Rural - do you live far from cities?
Something else?
5.
What is your gender?
I identify as a woman
I identify as a man
I identify as non-binary/other/or am unsure
Other (please specify)
6.
How would you describe yourself? (Choose as many as you want)
American Indian/Native American
Asian
Black/African American
Hispanic/Latino
White/Caucasian
Pacific Islander/Native Hawaiian
Other
Something Else?
7.
I am satisfied with my participation in this grant.
Yes
No
8.
As a result of TechKnowledgeMe, I feel more confident about videoconferencing.
Yes
No
If you have used the TechKnowledgeMe materials to help you join a videoconference, please fill out the following questions:
9.
Do you speak up for yourself and others more?
Yes
No
Maybe
10.
Are you better able to say what you want?
Yes
No
Maybe
11.
As a result of using the TechKnowledgeMe materials, I have (check all that apply):
joined an online meeting
done an online course or attended an info session
advocated for yourself at lifeplan or your telehealth meetings
met online with family or friends
done more advocacy activities
joined a virtual board or committee meeting
12.
Your Phone (if any)
13.
Your email (if any)
Current Progress,
0 of 13 answered
