OCALI Lending Library - Did You Notice? Virtual Training Evaluation Question Title * 1. Patron Name Question Title * 2. Email Address Question Title * 3. Are you a person with a disability? Yes No Question Title * 4. Are you a family member of a person with a disability? Yes No Question Title * 5. Title/Role County Board of Developmental Disabilities Staff Member Direct Support Professional Intervention Specialist/Special Education Teacher/Educational Diagnostician Occupational Therapist Physical Therapist Provider Agency Staff Member Social Worker Speech and Language Therapist/Pathologist Other (please specify) Question Title * 6. Accession NumberRefer to the email you received regarding taking the survey to find the accession number of item borrowed. You can also look for the eight digit number associated with the item on top or side of the container that the items were packaged in. Question Title * 7. Date Requested Please enter the date you requested the item below: Date Question Title * 8. Date Received Please enter the date you received the requested item below: Date Question Title * 9. County Adams Allen Ashland Ashtabula Athens Auglaize Belmont Brown Butler Carroll Champaign Clark Clermont Clinton Columbiana Coshocton Crawford Cuyahoga Darke Defiance Delaware Erie Fairfield Fayette Franklin Fulton Gallia Geauga Greene Guernsey Hamilton Hancock Hardin Harrison Henry Highland Hocking Holmes Huron Jackson Jefferson Knox Lake Lawrence Licking Logan Lorain Lucas Madison Mahoning Marion Medina Meigs Mercer Miami Monroe Montgomery Morgan Morrow Muskingum Noble Ottawa Paulding Perry Pickaway Pike Portage Preble Putnam Richland Ross Sandusky Scioto Seneca Shelby Stark Summit Trumbull Tuscarawas Union Van Wert Vinton Warren Washington Wayne Williams Wood Wyandot Question Title * 10. Zip Code Question Title * 11. School District or OrganizationIf you work for a school, please enter the name of the district that your school belongs to. If you do not work for a school, please simply enter the name of the organization that you work for. Question Title * 12. Please describe your experience using the headset and going through each training scenario: Question Title * 13. Were there any scenarios in the training that you found more useful? Were there any scenarios in the training that you thought were challenging? Question Title * 14. Which of the following best describes how the headset was used? For my own personal use For another family member's use within my household I was the only one to use this headset to train others within my organization Multiple people at my organization used this headset to train others Question Title * 15. What insights from the training will you implement into your personal practice? What insights from the training will affect your personal relationships with others? Question Title * 16. What other types of trainings with virtual reality would you like to see? Question Title * 17. If you experienced any malfunctions or difficulties in setting up the headset, or if there were any parts of the set-up that you found confusing, please describe these issues below: Question Title * 18. Going forward, what can we do to improve the virtual reality experience? Done