end user feedback form questionnairechallenges.s3.amazonaws.com/connect-ability/end user...end user...

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END USER FEEDBACK FORM End User Feedback Form Questionnaire: 1. Person giving feedback: 2. Phone / email of person giving feedback: 3. Date feedback occurred: 4. Category into which solution will be submitted: 5. Disability of person giving feedback (optional): 6. Feedback: 7. Planned or executed changes based on feedback: Signature of Submitter: Signature of Person Giving Feedback:

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Page 1: End User Feedback Form Questionnairechallenges.s3.amazonaws.com/connect-ability/End User...END USER FEEDBACK FORM End User Feedback Form Questionnaire: 1. Person giving feedback: 2

 

  END USER FEEDBACK FORM

End User Feedback Form Questionnaire: 1. Person giving feedback:

2. Phone / email of person giving feedback:

3. Date feedback occurred:

4. Category into which solution will be submitted:

5. Disability of person giving feedback (optional):

6. Feedback:

7. Planned or executed changes based on feedback: Signature of Submitter: Signature of Person Giving Feedback: