APH Feel 'n Peel Stickers Product Feedback and Needs Survey Question Title * 1. Contact Information Name (First/Last) Professional Title Agency/School City/Town State/Province ZIP/Postal Code Email Address Phone Number Question Title * 2. Please indicate the type of instructional setting that describes your school/agency. Residential School Itinerant/Mainstream Setting Resource Center Rehabilitation Center Other (please specify) Question Title * 3. How many years of experience do you have working with students/clients who are visually impaired/blind? 0-5 years 6-10 years 11-15 years 16-20 years 21+ years Question Title * 4. Please indicate the population(s) you currently serve (check all that apply). Infants/Preschoolers Kindergarten Students Elementary School Students Middle School Students High School Students Adults I am an adult consumer of APH products Other (please specify) Question Title * 5. Indicate which of the following Feel 'n Peel Stickers you have used with your students/adult clients (check all that apply). Alphabet (lowercase) Stickers Point Symbol Stickers Reward Statements Smiley/Frowny Faces Numbers 0-9 (UEB) Nemeth Numbers (0-100) UEB Basic Math Symbols Nemeth Basic Math Symbols Stars Color Names Question Title * 6. Indicate the frequency with which you currently use each of the following sticker packages. Frequently Occasionally Rarely Never Alphabet (lowercase) stickers Alphabet (lowercase) stickers Frequently Alphabet (lowercase) stickers Occasionally Alphabet (lowercase) stickers Rarely Alphabet (lowercase) stickers Never Point Symbol Stickers Point Symbol Stickers Frequently Point Symbol Stickers Occasionally Point Symbol Stickers Rarely Point Symbol Stickers Never Reward Statements Reward Statements Frequently Reward Statements Occasionally Reward Statements Rarely Reward Statements Never Smiley/Frowny Faces Smiley/Frowny Faces Frequently Smiley/Frowny Faces Occasionally Smiley/Frowny Faces Rarely Smiley/Frowny Faces Never Numbers 0-9 (UEB) Numbers 0-9 (UEB) Frequently Numbers 0-9 (UEB) Occasionally Numbers 0-9 (UEB) Rarely Numbers 0-9 (UEB) Never Nemeth Numbers (0-100) Nemeth Numbers (0-100) Frequently Nemeth Numbers (0-100) Occasionally Nemeth Numbers (0-100) Rarely Nemeth Numbers (0-100) Never UEB Basic Math Symbols UEB Basic Math Symbols Frequently UEB Basic Math Symbols Occasionally UEB Basic Math Symbols Rarely UEB Basic Math Symbols Never Nemeth Basic Math Symbols Nemeth Basic Math Symbols Frequently Nemeth Basic Math Symbols Occasionally Nemeth Basic Math Symbols Rarely Nemeth Basic Math Symbols Never Stars Stars Frequently Stars Occasionally Stars Rarely Stars Never Color Names Color Names Frequently Color Names Occasionally Color Names Rarely Color Names Never Question Title * 7. Describe the most frequent ways that you use APH's Feel 'n Peel Stickers (e.g., label tactile displays/diagrams, mark personal belongings, adapt storybooks/games). Question Title * 8. APH is currently planning to produce the following Feel 'n Peel Sticker packages. Please indicate how likely you are to use each type of sticker package. Very Likely Possibly Unlikely Braille/Print Capital Letters A-Z Braille/Print Capital Letters A-Z Very Likely Braille/Print Capital Letters A-Z Possibly Braille/Print Capital Letters A-Z Unlikely Negative Numbers (-1 through -20) Negative Numbers (-1 through -20) Very Likely Negative Numbers (-1 through -20) Possibly Negative Numbers (-1 through -20) Unlikely UEB Braille/Print Numbers 0-100 UEB Braille/Print Numbers 0-100 Very Likely UEB Braille/Print Numbers 0-100 Possibly UEB Braille/Print Numbers 0-100 Unlikely Question Title * 9. Should APH produce letter grading stickers (e.g., A+, A, A-, B+, B,...)? Yes No Uncertain Question Title * 10. If you would like to see APH produce letter grading stickers, please describe the ideal package features (e.g., quantity of each letter grade, color of stickers, etc.) Question Title * 11. Are there other types of stickers that APH should consider producing? If so, please list/describe. Question Title * 12. Are there any revisions/modifications that you would like to suggest for the existing sticker packages currently available from APH? If so, please describe. Done