UWL DSA University of West London Client Referral form Please complete this form and attach relevant documentation. Step 1 of 6 16% Name First Last If you prefer to give your feedback anonymously please these fields blank "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? Δ