APH Beta Tester Form

The American Printing House for the Blind (APH) regularly conducts beta tests of new products that are under development. APH uses the comments and recommendations gathered from experts in the field to refine and improve products before actual production. If you would like to be considered for future beta test opportunities, please complete and submit this form.

NOTE : The questions on this form are in reference to the individual completing the form.

Question Title

* 1. Beta Tester Classification (check all that apply):

Parent of a child with visual impairment

Adult consumer of APH products

Professional in the Blindness field

Professional in the Technology field

Other (please specify)

Question Title

* 2. Primary Contact Information

Name

Job Title/Description

School/Agency

Address

City/Town *

State/Province *

ZIP/Postal Code

Email Address

Question Title

* 3. Do you work with students/clients who are blind or visually impaired?

Yes

Question Title

* 4. Your visual function:

No visual impairment

Low vision

Legally blind

No functional vision

Question Title

* 5. Your ethnicity/race:

Hispanic of any race

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or other Pacific Islander

White

Two or more races

Other (please specify)

Question Title

* 6. Your age range:

Under 17

18–30

31–45

46–65

65 and older

Question Title

* 7. Have you conducted beta/field testing for APH in the past?

Yes

If yes, please list the products you beta tested?

Question Title

* 1. Beta Tester Classification (check all that apply):

Question Title

* 2. Primary Contact Information

Question Title

* 3. Do you work with students/clients who are blind or visually impaired?

Question Title

* 4. Your visual function:

Question Title

* 5. Your ethnicity/race:

Question Title

* 6. Your age range:

Question Title

* 7. Have you conducted beta/field testing for APH in the past?

Question Title

* 8. What product(s) are you currently interested in testing?