1. What kind of relay calls do you currently make? (Please select all that apply)
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| 1A. If you selected "Other" in question #1 above, please explain: |
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| 2.If there are types of relay or other calls you do NOT currently make, but made in the past please indicate what they are (Please select all that apply) |
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| 2A. If you selected "Other" in question #2 above, please explain: |
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| 3. How often do you use the relay service? (Please select only one) |
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| 4. What language do you use when you make a call? (Please select only one). |
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| 5. What kinds of calls do you make? (Please select only one). |
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| 6. What equipment do you use to make calls (Check as many as apply)? |
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| 6A. If you selected "Other" in question #6 above, please explain: |
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| 7. Have you experienced “hang-ups” when calling businesses or professional offices using the relay service (including CapTel and Speech to Speech)? |
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| 8. How satisfied are you with your experience on relay calls when you reach a recorded message that includes menu options or automated recording? |
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| 9. If you are a CapTel user: How satisfied are you with the accuracy of captions on your Captioned Telephone? (Please select only one) |
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| 10. Captioned Telephone: If you are a Spanish Captioned Telephone user, how satisfied are you with the Spanish captioning service? |
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| 11. If you are a TTY/VCO/HCO/STS user: Have you completed a 711 Choice form? |
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| 11A. If you selected "No" in question #11 above, please explain: |
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| 12. STS: Have you used the Speech to Speech Training Line to obtain information and tips on this service |
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