Survey | Qualtrics Survey Software

Your contact information.

First Name
Last Name
College/University
Email Address
Hardware and/or software borrowed

Did the software/hardware help you with your coursework?

If yes, provide an example of how the equipment helped you. If no, describe why the equipment did not help you.

Did you have any problems using the items?

If yes, please describe.

Would you recommend the Adaptive Technology Lending Program to other students?

Would you recommend the equipment you borrowed to another student?

Additional Comments or Suggestions for the Adaptive Technology Center:

What is today's date?

Month/Date/Year