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UWL DSA
University of West London Client Referral form
Please complete this form and attach relevant documentation.
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"On receiving the Assistive Technology equipment and software, the idea of using it made me feel..."
Very Unconfident
Unconfident
Neutral
Confident
Very Confident
After the tutorial session how confident do you feel about using your Assistive Technology equipment and software?
Very Unconfident
Unconfident
Neutral
Confident
Very Confident
"The session content was relevant to my needs"
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
"From the session, I was be able to gain a lot of new ideas"
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
"I will use content from the session"
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
"The content from the session will enable me to improve my effectiveness and results"
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
"The session was an enjoyable experience"
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
"I am satisfied with the session I received"
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
"I am satisfied with the session I received"
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
"The learning materials I was provided with were really useful"
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
"The tutors presentation and explanations were clear"
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
"I would definitely recommend NeuroKnowHow's service to someone else"
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Do you have any other comments that you would like to share about your experience?
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