Skip to main content

Download

Title Basic Questionnaire for Referral for People who are Visually Impaired
Summary Questionnaire for Referral: It can be difficult to determine quickly how to prioritize consumers for services. This quick 10 question list can help identify immediate needs and referral needs.
Author Older Individuals who are Blind Technical Assistance Center (OIB-TAC)
Publisher Older Individuals who are Blind Technical Assistance Center (OIB-TAC)
Publish Date 6/17/2019
Filename Questionaire for referral for OIB services.docx

Thank you for downloading these materials. Take our survey to let us know what you think of them and the NCRTM website.

The materials on NCRTM’s web site are provided "as is". NCRTM makes no warranties, expressed or implied, and hereby disclaims and negates all other warranties, including without limitation, implied warranties or conditions of merchantability, fitness for a particular purpose, or non-infringement of intellectual property or other violation of rights.