Pierce County Use of Assistive Technology Survey

Who you are and your experience with assistive and information technology:

The survey is eight questions long and we hope it will only take a few minutes to complete. The results will help Pierce County Developmental Disabilities and Washington Initiation for Supported Employment (WiSe) to understand the Assistive Information needs and interest of the community. We appreciate your effort in completing this survey.

This survey deals with handheld or iOS devices (cell phones, apple “i” devices such as iPhone, iPod Touch, iPad, or other tablet devices), and their use and need by individuals experiencing disabilities in Pierce County.

Question Title

* 1. Are you a

Person who experiences disability/self advocate

Special education teacher or administrator

Family member

Employment service provider

DVR staff

DDD staff

Other (please specify)

Question Title

* 2. What would you call your level of experience with the iPad, iPod Touch or other handheld devices?

Very experienced

Somewhat experienced

Just learning

No experience

Question Title

* 3. Are you regularly using any of the following devices? Choose all that apply

	Individual with Disability	Family member or professional staff
Cell phone of any type	Cell phone of any type Individual with Disability	Cell phone of any type Family member or professional staff
iPod Touch	iPod Touch Individual with Disability	iPod Touch Family member or professional staff
iPad	iPad Individual with Disability	iPad Family member or professional staff
Other tablet or handheld devices	Other tablet or handheld devices Individual with Disability	Other tablet or handheld devices Family member or professional staff
No devices	No devices Individual with Disability	No devices Family member or professional staff

Other (please specify)