[Capchapohio] {Spam?} Fw: Survey to Help Determine Need for Vision Services

[Angela]

Thanks completed. Angie 

 

From: Capchapohio [mailto:capchapohio-bounces at nfbnet.org] On Behalf Of Carol Akers via Capchapohio
Sent: Saturday, August 27, 2016 11:39 AM
To: Capital Chapter (Columbus Ohio) Mailing List; NFB of Ohio Announcement and Discussion List
Cc: Carol Akers
Subject: [Capchapohio] {Spam?} Fw: Survey to Help Determine Need for Vision Services

 

We all know there is a lack of services in Ohio and therefore this survey is important to the blind and visually impaired of Ohio.  Please complete this if you would and share it with others.  We never know what impact it could have, but what we do know is a silent voice is never heard.

Carol Akers

 

Show original message 

On Saturday, August 27, 2016 11:26 AM, Vicky Prahin <Vicky at hadley.edu> wrote:

 

Please help us get back some of the services the Vision Center provided. You can fill out the survey by pressing Enter on the link or look below it for the questions and just copy and paste them into a reply, with your answers. We need as many people as possible to respond; otherwise, this can’t happen! If there is no need assessed, those considering spending the time and money on this project will not act.

 

Reply to me or to Katie Frederick at acbo.director at gmail.com. Share this with anyone else you know who has an interest. 

 

 

 


Please take five minutes and help collect data to determine the need for vision services in Columbus. Thank you in advance for your time and assistance.

 Image removed by sender. Google Forms

 


Having trouble viewing or submitting this form?

	



 <https://docs.google.com/forms/d/e/1FAIpQLSd5qsxts0GyUG3ngiuFn_alJ9sa0AAcR0Kgr60fnc04n-dnAw/viewform?c=0&w=1&usp=mail_form_link> FILL OUT IN GOOGLE FORMS

	

 

	
	

 <https://docs.google.com/forms/d/e/1FAIpQLSd5qsxts0GyUG3ngiuFn_alJ9sa0AAcR0Kgr60fnc04n-dnAw/viewform?c=0&w=1&usp=mail_form_link> Vision Services Need Survey

Due to the closing of Vision and Vocational Services several years ago, there is a lack of service and support available to the Columbus/Central Ohio area. This survey aims to explore the need for said services in this part of the state.

 

 

1. Do you feel you need instruction in daily living skills or activities? *

Please make one selection.

o    ( ) Yes, I could benefit from some daily living skills training 

o    ( ) No, I do not need training in this area at this time. 

 

 

2. Do you feel you need instruction in the use of a computer, a smart phone or other access technology? *

Please choose one response

o    ( ) Yes 

o    ( ) No 

 

 

3. Do you feel you need instruction in orientation and mobility/cane travel skills? *

Please choose one

o    ( ) Yes 

o    ( ) No 

o    ( ) Other: 

 

 

4. If you are low vision, do you currently need help with low vision services/magnifiers or other aids and appliances? *

Please choose one response below.

o    ( ) No, I do not use low vision aids/appliances 

o    ( ) Yes, I could benefit from training. 

 

 

5. In the past ten years, where have you gone to obtain daily living skills techniques, orientation and mobility training, and/or assistive technology instruction? *

Please mark all that apply.

o    [ ] Bureau of Services for the Visually Impaired (BSVI) 

o    [ ] Vision and Vocational Services 

o    [ ] Functional Training Services 

o    [ ] Cleveland or Northwest Ohio Sight Center 

o    [ ] Cincinnati Association for the Blind 

o    [ ] Other: 

 

 

6. Today, where would you go to obtain training related to daily living skills, orientation and mobility, and/or assistive technology? *

Please mark all that apply.

o    [ ] Bureau of Services for the Visually Impaired (BSVI) 

o    [ ] Functional Training Services 

o    [ ] An independent living center in your community 

o    [ ] Seek assistance from a certified known professional in the area 

o    [ ] Other: 

 

 

7. Would you be willing to pay a modest fee for the service and equipment needed, if there were no third party resources available to you? *

Please mark one response.

o    ( ) Yes. 

o    ( ) No. 

o    ( ) maybe 

 

 

8. Do you currently face challenges obtaining or maintaining employment? *

Please choose one response.

o    ( ) No, employment is not a challenge for me at this time. 

o    ( ) Yes, obtaining/maintaining employment is a challenge for me. 

 

 

9. As a result of your blindness/visual impairment, do you have difficulty performing daily living skills tasks? *

Please choose one response.

o    ( ) No 

o    ( ) Yes, I face challenges performing daily living skills tasks. 

o    ( ) Other: 

 

 

10. What Products or Services for people who are blind or visually impaired do you feel are lacking in Greater Columbus? *

Please type your answer. 


[Submit] 

 

 

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