Customer Fit Survey

Thank you for your interest in the Sunu community.

The first step is to validate the product is a good fit for your mobility.

Make sure to fill out this survey and we'll promptly get back to you with a response.

Question Title

* 1. Name

Question Title

* 2. E-mail

Question Title

* 3. Age

Under 10

Between 10 and 15

Between 16 and 45

Between 46 and 70

Over 70

Question Title

* 4. Country

Question Title

* 5. Select the option that best describes you:

I have low vision, I can identify obstacles most of the time

I have low vision, I cannot identify obstacles in specific situations (lack of light or excess light)

I have low vision, I can't identify obstacles most of the time

I have total blindness

Question Title

* 6. In addition to visual limitations, do you have any other type of limitation? select all that apply:

Hearing limitation

Motor limitation

Cognitive limitation

Psychosocial limitation

Does not apply

Question Title

* 7. How long has it been since you have been visually impaired?

Since I was born

Less than a year

Less than two years

Less than five years

More than five years

Question Title

* 8. What mobility tool do you use?

White Cane

Guide dog

I am always accompanied by a sighted guide

I don't use mobility tools

Question Title

* 9. Select all the technological tools you use

IOS phone

Android phone

Computer

IOS tablet

Android tablet

Screen reader (NVDA, JAWS, Voice Over, etc)

GPS applications (Google Maps, BlindSquare, Lazarillo, etc)

OCR applications (KNFB Reader, Seeing A I, etc)

Vision assistance applications (Be my eyes, Seeing AI, TapTapSee, etc)

Question Title

* 10. Select the option that best describes you:

I usually move through unfamiliar places without the help of a sighted guide, using my mobility tools.

I move without the help of a sighted guide but only to familiar places.

I do not usually go out if I am not accompanied by a sighted guide.

Question Title

* 11. Select the option that best describes you:

I prefer to be at home and not do more than what I am used to.

I do a few activities but I would like to be more active and learn new things.

I do various activities but I am not interested in doing more than I am used to.

In addition to my obligations, I practice some sport, or recreational activity.

Question Title

* 12. Select all the options that describe you:

I have a rehabilitation specialist who usually guides me.

I have an orientation and mobility specialist who usually guides me.

I have a technology specialist who usually guides me.

My family encourages me to be more independent.

My friends push me to be more independent.

Question Title

* 13. Why are you interested in the Sunu Band?

To avoid having to use a cane or guide dog.

To complement my other tools and improve my mobility.