STAR: Federal Consumer Satisfaction Survey

1

Please indicate below your Representation:

Individual with a disability that uses AT
Familiy member/Guardian of an individual with a disability that uses AT
Advocate of an individual with a disability that uses AT
Rep. of Vocational Rehabilitation
Rep. of The Centers for Independent Living
Rep. of The State Services for the Blind
Rep. of The State Workforce Reinvestment Board
Rep. of The Alabama Department of Education
Rep. of The Department of Employment and Economic Development
Rep. of Other State Agency
Rep. of AT Center
Rep. of Business or Employer

2	Please indicate where you reside.
	Metro in Alabama Non-Metro in Alabama Other State

3	Please indicate below the topic that interested you to particpate:
	AT Products/Services AT Funding/Policy/Practices IT/Telecommunications Any Combination of the above topics listed (includes STAR Overview) Transition Related (i.e. Education, Employment, Home...) Other

5	Name-Optional

6	E-mail Address (Optional)

7	Have you ever accessed the STAR website, and, if so, do you have any suggestions or comments on your experience?

8	Any additional comments or suggestions:

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Federal Consumer Satisfaction Survey