SC Vendors Assistive Technology Resources Survey

This survey is being conducted by the Outreach Committee of the Assistive Technology Advisory Committee under the Chief Information Officer, September 25, 2012he state's assistive technology resources so that we can have a central location on the web for this information and to facilitate networking among assistive technology service providers in our state. This information is being gathered for informational purposes and not in an attempt to "test your compliance" or evaluate programs. If you have any questions about the survey, please contact Janet Jendron at Janet.Jendron@uscmed.sc.edu or 803-935-5273.

What is the name of your company?

What is the Web site address for your company?

Does your company have a person responsible for Assistive Technology? If so, please list your primary contact person's name and contact information below. (Please include the person's name, position, address, telephone number, and email address.)

Please list any other persons responsible for Assistive Technology. (Please include each person's name, position, address, telephone number, and email address.)

Eligibility Requirements to access your services:

Geographical Area Served:

Ages/Disabilities Served:

Procedure: (description of steps taken before the demo/loan/assessment appointment is made)

What assistive technology do you offer for demonstration? (Give general categories if you have an extensive inventory). Do you have a central location or do you travel to demonstrate technology?

What assistive technology do you offer for loan? (Give general categories if you have an extensive inventory). How long may items be borrowed?

If so, in what areas?

Vehicle Modification
Environmental Control Units
Seating/Positioning
Manual/Powered Mobility
Aids for Daily Living (including ambulatory aids)
Home Modification
Job-Site Modification
Augmentative Communication Devices
Rural/Farm Adaptations
Assistive Devices for Hearing Impairments/Deafness
Assistive Devices for Visual Impairments/Blindness
Computer Access - Hardware
Computer Access - Software
Orientation and Mobility
Adapted Prosthetics/Orthotics
Other

If you chose "Other" in the above question, please list the "Other" area(s) here.

Is your staff available to go offsite to assist people in determining appropriate assistive technology for individuals? Please explain if you wish. Is there a fee?

What training can your staff provide to other AT service providers in the state? Is there a fee?

What technical help can your staff provide to other AT service providers in the state? Is there a fee?

Any additional comments or suggestions?

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