1.First name

2.Last name

3.Email address

4.What is/are your job title(s)? Please check all that apply.

Manager of IRC/MRC--Instructional Materials Resource Center

Teacher of the Visually Impaired

Assistive Technology Instructor

Vision Rehabilitation Therapist

Orientation and Mobility Instructor

Paraprofessional

Parent of student with visual impairments/blindness

Adult with visual impairment/blindness

Other (please specify)

5.Agency/School name

6.Type of instructional setting (Please check all that apply.)

IRC/MRC--Instructional Resource Material Center

Residential School for the Blind

Resource Center

Itinerant--Public School

Home-based

Multiple Disabilities

Rehabilitation for the Blind

University/college

Other (please specify)

7.How did you initially learn about the availability of the Envision Kit?

I field tested the prototype of this product

APH website

Social media

APH newsletter

Conference/Workshop

Virtual webinar

Colleague

As a student in a university program

Other (please specify)

8.How many Envision Kit Training Programs did you (or your agency) purchase?

1-2

3-5

6-10

11 or more

Not sure

9.Which kit was purchased or is planned to be purchased?

1-08562-00 Envision with Optical Aides

1-08563-00 Envision without Optical Aides

10.The age group I can use the kit with is...

K-12

Transition age youth

Adults

All ages

11.The number one feature of this product I like is...

Magnifiers

Telescopes

User Guide

Near Reading Activity Cards

Distance Reading Activity Cards

All Materials

12.Give an example of how you successfully used the Envision Kit with a student.

13.Give an example of how you struggled using the Envision Kit with a student.

14.Please explain anything else you would like us to know about your experience using the Envision Training Program.

15.Comments