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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