AACcess Data Gathering
Thanks for loaning equipment through our AACcess program. This program was made possible through funding from The Alaska Mental Health Trust Authority. The data provided is crucial to ensuring programs such as AACcess continue.
Name (required)
*
First Name
Last Name
Email (required)
*
example@example.com
Agency (required)
*
What device did you loan? (required)
*
Accent 1400
Eyetuitive
TD I-110
TD Pilot
TD I-13
Speech Watch with Talk Tablet Pro
Via Nano Handheld Communication
Did any other provider explore the device while in your procession? If so, please name each one below.
How many consumers trialed the loaned device? Please specify by AKMHT Beneficiary category. (required)
*
Rows
Number of Consumers
Mental illness
Substance use disorders
Alzheimer’s disease and related dementia
Traumatic brain injuries
Intellectual and developmental disabilities
Not a AKMHT Beneficiary
Please provide any feedback on the device or what you would like to see included in the program in the future.
Save
Submit
Should be Empty: