1. Equipment Survey
- Things I use
- Other help I get
- Overall, how much difficulty? (1-5)
- Costs aside, what aids and equipment improvement or solution would best meet your needs? (devices, environments, support)
- What could you do as a result of these changes that you can’t do now?
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What impact on your time would these changes have?
2. AQOL
3. Demographic Questions
Repeat survey questions for each domain:
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Personal wellbeing
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Social life
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Political life
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Cultural life
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Recreational and leisure life
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Economic life
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Educational life
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Spiritual life