CAN Feedback People with Disabilities

1. CAN Feedback

Thank you for participating in CAN. We value your contribution and input.

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* 1. We would like to know who you are so that we can send you updates on CAN and other CDAC projects. Your information will be treated as confidential and will not be shared outside of CDAC. Please note that you do not have to provide this information.

Name:

Work place:

Address:

City/Town:

Province

Postal Code:

Country:

Email Address:

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* 2. Please tell us a bit about your communication disability. Do you have a disability that affects how you

Express what you want to say

Read

Speak

Understand what others are saying

Write

Other (please specify)

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* 3. Tell us the 3 main communication methods you use.

Body language

Communication device

Gestures and signs

Letter board

Pictures

Speech

Symbols

Writing

Other (please specify)

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* 4. How useful are these CAN resources?

	Very useful	Useful	Not very useful
Communication rights	Communication rights Very useful	Communication rights Useful	Communication rights Not very useful
CAN videos	CAN videos Very useful	CAN videos Useful	CAN videos Not very useful
What organizations can do	What organizations can do Very useful	What organizations can do Useful	What organizations can do Not very useful
Communication access card	Communication access card Very useful	Communication access card Useful	Communication access card Not very useful
Vocabulary boards	Vocabulary boards Very useful	Vocabulary boards Useful	Vocabulary boards Not very useful
What to do if your rights are ignored	What to do if your rights are ignored Very useful	What to do if your rights are ignored Useful	What to do if your rights are ignored Not very useful
CAN brochures	CAN brochures Very useful	CAN brochures Useful	CAN brochures Not very useful

Comment (please specify)

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* 5. Tell us if you told people about CAN. Did you

Tell people about your communication rights

Share CAN brochures in your community

Give tips to businesses on how to communicate with you

Join CAN facebook and discussion forums

Participate in a CAN event

Other (please specify)

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* 6. Tell us if staff in businesses and organizations communicate better with you after you told them about your communication access needs?

Much better

A bit better

The same

Worse

Comment(please specify)

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* 7. What suggestions do you have on ways to increase awareness of communication access for people with communication disabilities?

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* 8. What other resources and services would be useful in increasing communication access for people with communication disabilities?

Thank you for taking the time to provide us with your feedback.