TAI Survey

TAI Survey
We are pleased you have applied with TAI for your telecommunications equipment. Please take a few minutes of your time to answer to questions below so we can better serve our customers. When you are completed, please return the survey form to the address below. Thank you!
Your name*

First NameLast Name
Your birthdate*

MonthDayYear
Date
1. Did you apply for telecommunications equipment?

YesNo
2. Who helped you with your application?

Telecommunications Access IowaDealerOther
3. Was the application form easy to understand and answer?

YesNo
4. Did you receive the specialized telecommunication equipment?

YesNo
5. How long did it take to get your telecommunication equipment from your Equipment Vendor?

Within 1 weekWithin 2 weeksWithin 3 weeksOther
6. Were you happy with the Equipment Vendor?

YesNo
7. Who was your Equipment Vendor?
8. Does your new telecommunications equipment work for you?

YesNo
If no, please explain:
9. Are you satisfied with your new telecommunications equipment?

YesNo
If no, please explain:
Telecommunications Access Iowa would like your feedback with any comments or suggestions you have about the program.
Should be Empty: