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Join the Rehabilitation Professional Advisory Network

Please fill out the following survey. Your participation will provide a rehabilitation professional perspective on workplace products and services, future needs and evaluations of new designs and technologies to make workplaces more accessible to people with disabilities. Thank you in advance for your assistance with this important project. Feel free to contact us if you have any questions about the survey or your participation. You may reach us by email at workrerc@coa.gatech.edu.

1) How many years have you worked in a Rehabilitation field?

2) What is your profession?











3) In what type of agency do you work?







4) How are job accommodations usually provided?







5) Are you interested in participating in future surveys or focus groups?



6) If yes, what is the best way to contact you?




7) Contact Information











When you have completed your entries, click on the "submit form" button below.


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