Tools for Independence Expo
Join us for a hands-on experience showcasing practical assistive technology designed to promote independence and ease in everyday activities. In an effort to create an experience that truly meets your needs and interests, we want your input! Fill out the form to share activities of daily living you find most challenging, what topics or devices you’d like to learn more about, and what tasks you think could be made easier with assistive technology.
Which best describes you? (If you are a parent or caregiver, please answer the following questions based on the individual you support.)
Individual with a Disability
Parent/Caregiver for an Individual with a Disability
Disability
Age
What are some of the functional limitations caused by your disability?
What level of assistance is required for daily tasks?
None
Minimal
Moderate
Total
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Activities for Daily Living
Check the activities where a tool, device, or assistive technology may help make the task easier or increase independence. For each activity that is checked, please explain the specific task that you may benefit from assistance. If you are a parent or caregiver, please answer the following questions based on the individual you support.
Household Tasks
Could Use Help in this Area
Specific Task
Personal Hygiene (hair, makeup, brushing teeth, etc)
Cooking and Food Prep
Creating and Following Routines
Getting Dressed
Toileting and Bathing
Chores (cleaning, bed making, laundry, dish washing, etc)
Community Activities
Could Use Help in this Area
Specific Task
School
Work
Recreation (sports, hobbies, interests, etc)
List any other tasks that you'd like to learn more about.
Submit
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