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CAN Feedback/ Advocates

1. CAN Feedback

Thank you for participating in CAN. We value your contribution and input.

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* 1. We would like to know who you are so that we can send you updates on CAN and other CDAC projects. Your information will be treated as confidential and will not be shared outside of CDAC. Please note that you do not have to provide this information.

Name:

Work place:

Address:

Address:

City/Town:

Province

Postal Code:

Country:

Email Address:

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* 2. Please tell us about yourself

Disability advocate

Family Member

Work in disability field

Other (please specify)

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* 3. How did you promote CAN?

Supported people with communication disabilities learning about CAN

Distributed CAN brochures to businesses and organizations

Joined CAN facebook and discussion forums

Participated in a CAN event

Other (please specify)

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* 4. Approximately how many people did you tell about CAN?

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* 5. What groups of people did you connect with about CAN? For example: healthcare workers; bank staff; police officers; accessibility committee; legal professionals etc.

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* 6. How useful are you finding the following CAN resources?

	Very useful	Useful	Not very useful
CAN videos	CAN videos Very useful	CAN videos Useful	CAN videos Not very useful
CAN brochures	CAN brochures Very useful	CAN brochures Useful	CAN brochures Not very useful
CAN website resources	CAN website resources Very useful	CAN website resources Useful	CAN website resources Not very useful

Comment (please specify)

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* 7. Tell us about the response to your CAN promotions. We are interested in positive and negative feedback, actions taken, questions and concerns.

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* 8. What suggestions do you have on ways to increase awareness of communication access for people with communication disabilities?

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* 9. What other resources and services would be useful in increasing communication access for people with communication disabilities?

Thank you for taking the time to provide us with your feedback.