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Assistive Devices Survey!
The purpose of this survey is to judge where there is need for a new innovative assistive device. Our team's goal is to design and build a new device based on the responses to this survey and other outside research.
For all the below scenarios, excluding the demographic questions at the end,
Answer YES if you or anyone you know has ever experienced what is being described.
Answer NO if you or anyone you know has never experienced what is being described.
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* Indicates required question
Slammed a finger in a car door
*
Yes
No
Had trouble charging devices due to a loose connection
*
Yes
No
Been uncomfortable using crutches
*
Yes
No
N/A - I have never used crutches
Often had a hard time carrying an awkward or bulky case
*
Examples include luggage, instruments, a box, briefcase, etc.
Yes
No
Had problems stopping when riding a longboard or a skateboard
*
Examples include not being able to stop for a street or a person. Also, wearing out the treads of your shoes while braking.
Yes
No
N/A - I have not ridden a longboard or skateboard
If you answered N/A to the previous question, have you ever felt unsafe because of someone else riding a longboard or a skateboard
*
Yes
No
Do you have any other problems you have experienced in everyday life which you would like a fix for?
Please provide any additional comments below
Your answer
What is your age range?
Younger than 15
15 - 18
18 - 22
22 - 35
35 - 50
Older than 50
Clear selection
Are you currently enrolled in school?
Yes
No
Clear selection
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