Contact Information
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Demographic Information

If you would like to receive Expo-related messages on site via text, provide your cell phone number.
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If you require accommodations for a disability to participate at the Expo (such as American Sign Language interpretation, Braille, electronic format, etc.), please indicate as many as apply below before August 31, 2018.
American Sign Language Interpreter
Real–Time Captioning/CART (applies to workshops only)
Braille
Large print
Electronic Format
Other
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*Are you a healthcare or disability professional?
Yes
No
*How did you find out about Abilities Expo? (Check all that apply.)
Postcard (Direct Mail) The Boston Globe
Boston Herald TV: WCVB (ABC), Channel 5
TV: WBZ (CBS), Channel 4 WBZ Newsradio 1030 AM4
Mobile device ads Magazine
www.abilitiesexpo.com Other Website
Social Media Non-profit Organization
Abilities Buzz E-newsletter Email
Flyer Abilities Expo Ambassador
Friends/Family/Acquaintance/Co-worker Other
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*Why did you decide to visit Abilities Expo? (Check all that apply.)
Latest disability products and services
CEU-earning sessions
Informative workshops
Adaptive activities like sports, dance and more
Networking
Other
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*Are you a person with a disability?
If yes, is the disability: (check all that apply)
Mobility Vision
Hearing Developmental
Autism Disease/Illness
Other
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If you are not a person with a disability, are you a...?(check all that apply):
Friend/Family Member
Caregiver
Healthcare/Disability Professional
Dealer/Distributor
Manufacturer
Other
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*Have you attended a past Abilities Expo?
Yes, I have attended.
No, I have not.
*What is your gender?
Male
Female
Other
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*What is your age?
*In the next 12 months or sooner, do you intend to purchase any of the following? (check all that apply)
Adaptive Vehicle
Manual Wheelchair
Power wheelchair
Lifts / Ramps
AAC devices
Service animal
Just browsing
Other
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Click here if you would prefer NOT to receive the Abilities Buzz, an e-newsletter that conveys valuable information about people with disabilities and Abilities Expo events.
No, I do not wish to receive the Buzz.

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