Skip to content
COVID-19 Virtual Connection & Tech Access Survey
Help United Spinal improve critical access to life-changing tech enabled devices, applications, and services. Share your (or that of a friend or family member) current access to tech devices and services during the COVID-19 pandemic.
OK
*
Please list your level of injury (or that of the person you are representing):
(Required.)
Paraplegic with leg function
Paraplegic without leg function
Quadriplegic with arm and finger function
Quadriplegic with arm function without finger function
Quadriplegic without arm or finger function
Alternate diagnoses (please explain your functional mobility limitations):
*
Mobility equipment usage:
(Required.)
Manual wheelchair
Power wheelchair
Manual and power wheelchair
Walking stick/cane/crutches
Mobility scooter
I do not require mobility equipment
Other (please specify)
*
Please check the following items you use: (check all that apply)
(Required.)
Smart phone
Laptop computer
Desktop computer
Tablet computer
Smart speaker (Amazon Alexa, Google Home/Nest, Apple Homepod etc.)
Wearable connectivity device (watch, band, necklace, etc.)
Environmental controls (smart home devices, light bulbs, thermostats, security systems)
Virtual reality device
Other personal tech usage:
*
Please list any assistive technology device that you utilize: (check all that apply)
(Required.)
Eye tracking
Speech to text software
Screenreader
Mouth mouse
Proportional head control mouse
Switch control
Mouth sticks
Typing aides
Joystick controller
Adaptive video game controller
Remote health and safety monitoring device(s)
Internet connected mobility or healthcare device(s)
I do not require assistive technology
Other assistive technology device usage:
