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Hello!

Thank you for being open to speaking with us. We would like to ask you a few questions about learning disabilities and find out when you would be available for a call.

This survey should take you no more than 3 minutes to complete. If you feel uncomfortable answering any questions, feel free to leave them blank. Any information you provide here will be kept strictly confidential.

Thank you for your help and participation!

Click the Continue button to start.
 
 
 
Name
   
 
 
 
Daytime Phone Number
   
 
 
 
What is your position title?
   
 
 
 
In your position, can you diagnose learning disabilities?
 
Yes
 
No
 
 
 
Are you employed by a school system?
 
Yes
 
No
 
Other
 
 
 
 
Which weekdays would not be convenient for you to have a brief phone survey with us?
 
Monday
 
Tuesday
 
Wednesday
 
Thursday
 
Friday
 
Any day would be fine
 
I have limited availability; I will suggest a date and time in a later question

 
 
 
What time would be most convenient for you?
 
Mornings (9am-12pm Eastern Time)
 
Early afternoon (12pm-3pm Eastern Time)
 
Afternoon (3pm-6pm Eastern Time)
 
Any time

 
 
 
If there is a specific day and time in the coming week or weeks that would be most convenient for you, please let us know here:
   
 
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