LOUISIANA CENTER FOR THE BLIND

We would appreciate your response to the following questions concerning your training while at the Center.  Your response is confidential and is for internal use only.  Thank you for your constructive feedback, which will assist us in providing the highest quality of services to our students.

(Note:  Providing your name, address and telephone number is optional)

Name
Name
Address
Address
Phone
Phone
Attendance Starting Date *
Attendance Starting Date
Attendance Ending Date *
Attendance Ending Date
Having completed your training, how useful are your travel skills to you? *
How useful are your Braille skills? *
How useful are your typing/computer literacy skills? *
How useful are your home economics/daily living skills? *
How useful are your industrial arts skills (if applicable)?
How useful was your Remedial Education/GED training (if applicable)?
Please rate your overall training at the Center:
Would you recommend potential students to the Center? *
Have you adjusted to family life since leaving the center? *
Have you noticed a change in your family’s attitude about blindness since completing your training?
Do you participate more in social activities since completing training at the Center? *
Do you feel more comfortable in social settings since completing training at the Center? *
Rate your present comfort level while participating in social activities: *
Are you currently employed? *
If yes, do you work part-tme or full-time? (Full-time is defined as 30 hours or more a week.)
If you are working, is the training that you received at the Louisiana Center for the Blind beneficial to you in your employment?
Did you get your job as a result of Louisiana Center for the Blind services?
Are you currently in school? *
Did you pursue higher education following your training at the Center?
If you are in school or if you pursued higher education after training at LCB, please check all that apply.
How would you rate the physical facility (building) while you were in training? *
How would you rate the living accommodations during your training? *
Do you use Braille? *
Do you use the computer? *
Do you cook? *
Do you travel independently using the cane? *
If applicable, do you attempt any industrial arts activity or home maintenance projects?
How would you rate your instruction in your Braille class? *
How would you rate your instruction in computer class? *
How would you rate your instruction in your home economics/daily living skills class? *
How would you rate your instruction in your cane travel class? *
If applicable, how would you rate your instruction in the industrial arts class? *
Did you participate in routine “staffings” while a student at the Center? *
How would you rate your overall experience with the Center staff? *