Washington Captioned Telephone Service (CTS) Survey

If you use Washington Relay Captioned Telephone Service (CTS) or communicate with individuals who use CTS, we would appreciate a few moments of your time in completing the survey below. Your feedback is valuable and will be used to evaluate the quality of services provided.

For each of the following items, please select the answer which most clearly reflects your experience. In some instances, more than one selection may be applicable. If a question does not apply, simply check N/A.

Information collected through this survey will be combined and reviewed in an overall summary of results and will not be used to identify specific individuals.

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* 1. In which city do you reside?

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* 2. Which Captioned Telephone do you presently have in your home?

CapTel 200

CapTel 800

CapTel 840

N/A

Other (please specify)

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* 3. How often do you use your Captioned Telephone?

Everyday

A few times a week

A few times a month

A few times a year

Never

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* 4. If you answered Never to the previous question, what is the reason you are not using your phone?

Phone not working properly

Don't have an internet connection

Need more training

Don't need captions to use the phone

Other (please specify)

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* 5. Is the phone still in your home?

Yes

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* 6. If no, where is the phone now?

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* 7. I would like to see more outreach and education about Washington Relay and CTS services provided to these kinds of businesses:

Financial institutions

Educational settings

Retailers

Government

Health facilities

Other (please specify)

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* 8. Please share any additional feedback or experiences you may have regarding Washington Relay or CTS service or any suggestions you may have for future products:

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* 9. Name and contact information (optional):

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number