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Rated: ASR · Survey Form · Biographical · #913573

to get to know you better.

I have developed this survey as a way to get to know the members of the "The Looking Glass Library" Open in new Window. better. The survey is optional and in no way reflects your group participation. I am not a leader of the group, just a curious member.

If you joined this group because you know, work with, or live with a disabled person, please answer the following questions from your observations.

Thanks in advance for taking the time to participate.
*Dollar* Reward for completing this survey is currently not available.
Multiple submissions allowed | (R) denotes a required field.
You may submit your survey anonymously by checking the box to the left.
1.   Why did you join the group? (Because you are disabled? Or a friend/family member/ co-worker is?)
     
2.   What is the nature of your disability? Provide symptoms, if any that you experience on a regular basis.
     
3.   How long have you experienced your disability?
     
4.   What limitations do you experience?
     
5.   What direct difficulties does your disability have on your writing?
     
6.   What direct difficulties does your disability have on your daily life?
     
7.   Have you ever been discriminated against because of your disability?

      Check this box to agree with the above statement.
8.   If you answered yes to the previous question, and would like to provide a brief explanation, do so here.
     
9.   What positive effects do you feel have happened to you because you are disability?

     
10.   If you wish to add any additional comments in the box provide, please feel free to do so.

     
*Note* Disclaimer: The information submitted will be sent to NanoWriMo2018 Into the Earth Author Icon. Do not submit anything private or confidential.

       

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