New Jersey State Library

Do you have: a ____ vision impairment or a ____ learning disability?

Did you use the Library's PC with adaptive software and/or the CCTV text magnification equipment? ____ yes ____ no

If yes, did using the Library's PC with adaptive software and/or the CCTV text magnification equipment make you more able to successfully complete your class assignments? Please rate your experience as one of the following:

____ no improvement in completing assignments

____ slight improvement in completing assignments

____ moderate improvement in completing assignments

____ significant improvement in completing assignments

If no, please check all the reasons why you did not use the PC with adaptive technology and/or the CTTV text magnification equipment:

____ didn't know about it

____ too hard to use

____ always being used when I needed it

____ other: _____________________________________

During the semester did you request assistance or training from Library staff to use the PC with adaptive software and/or the CCTV text magnification equipment? ____ yes____ no

If you requested assistance, please rate quality of the help you got as one of the following:

____ poor

____ good

____ excellent

Did you use the Library's PC with the adaptive software to do any of the following activities:

____ surf the Internet for fun, personal interest or class work

____ read class assignments

____ send or receive e-mail

What did you like most about using the Library's PC with adaptive software and/or the CCTV text magnification equipment?

What did you like least about using the Library's PC with adaptive software and/or the CCTV text magnification equipment?

What adaptive software or assistive equipment would you like the Library to purchase in the future?

What type of training or assistance would you like the Library provide for students with vision impairments or learning disabilities?

Would you like to become a member of the Advisory Council which makes recommendations on the types of services the Library should offer to students with disabilities? If yes please give us your name, phone number or e-mail address and someone will contact you.

Would you like further training on use of the Library's PC with adaptive software and/or the CCTV text magnification equipment? If yes, please give us your name, phone number or e-mail address and someone will contact you.