Feedback Survey

Full Name

How Satisfied Are You with the Funding Process? (1 being very dissatisfied and 5 being very happy) How Satisfied Are You with the Funding Process? (1 being very dissatisfied and 5 being very happy) 1 2 3 4 5

How Satisfied Are You with the Setup and Training Process? (1 being very dissatisfied and 5 being very happy) How Satisfied Are You with the Setup and Training Process? (1 being very dissatisfied and 5 being very happy) 1 2 3 4 5

How Satisfied Are You with the Followup Support? (1 being very dissatisfied and 5 being very happy) How Satisfied Are You with the Followup Support? (1 being very dissatisfied and 5 being very happy) 1 2 3 4 5

How Easy Was It Learning to Use Your Eyegaze Edge Device? (1 being very hard and 5 being very easy) How Easy Was It Learning to Use Your Eyegaze Edge Device? (1 being very hard and 5 being very easy) 1 2 3 4 5

Please Rate Your Overall Satisfaction with Eyegaze Inc. (1 being very dissatisfied and 5 being very happy) Please Rate Your Overall Satisfaction with Eyegaze Inc. (1 being very dissatisfied and 5 being very happy) 1 2 3 4 5

How Did You Hear About Us? How Did You Hear About Us? Your SLP Social Media Conference ALS Center Google Search

Name one thing we could have done to improve your overall experience. Type here to get started...