Google Form Structure
Title of the Form
Condition-Specific Framework for Assistive Devices: Input for Framing Negotiable and Non-Negotiable Rules
Section 1: General Information
1.1 Name of the Respondent
(Short Answer)
1.2 Contact Information (Email/Phone Number)
(Short Answer)
1.3 Organisation/Designation (if applicable)
(Short Answer)
1.4 Disability or Condition Name
(Dropdown or Multiple Choice)
Locomotor Disability
Visual Impairment
Hearing Impairment
Intellectual Disability
Autism Spectrum Disorder
Cerebral Palsy
This will list all 21 disabilities mentioned in RPWDA 2016
Other (please specify) (Short Answer Option)
1.5 Brief Description of the Condition
(Paragraph Response)
Section 2: Assistive Devices
2.1 List of Relevant Assistive Devices for the Condition
(Checkboxes)
Mobility Aids (e.g., wheelchairs, crutches)
Communication Aids (e.g., AAC devices, hearing aids)
Sensory Aids (e.g., screen readers, Braille displays)
Other (please specify) (Short Answer Option)
2.2 Device Details
(For each selected device, use conditional logic to display these questions)
Name of the device (Short Answer)
Description (Paragraph Response)
Key Features (Paragraph Response)
Price Range (Short Answer)
Recommended Age/Group (e.g., children, adults) (Short Answer)
Section 3: Negotiable and Non-Negotiable Rules
3.1 Non-Negotiable Rules for Accommodations
(Paragraph Response)
Examples: "Ramps must be present in all public buildings," or "Screen readers must be accessible in educational tools."
3.2 Negotiable Rules for Accommodations
(Paragraph Response)
Examples: "Timelines for delivering devices may vary depending on regional logistics."
Section 4: Implementation and Monitoring
4.1 Eligibility Criteria for Assistive Devices
(Paragraph Response)
Examples: income, disability certificate, specific age groups, etc.
4.2 Recommended Methods for Distribution and Procurement
(Paragraph Response)
Examples: using government-supported schemes like ADIP or local NGOs.
4.3 Suggestions for Feedback Mechanisms
(Paragraph Response)
How can beneficiaries provide input on the utility of devices? Examples: surveys, online platforms, in-person reviews.
4.4 Key Metrics for Monitoring Success
(Paragraph Response)
Examples: number of devices distributed, satisfaction levels of users, regular maintenance audits.
Section 5: Stakeholder Involvement
5.1 Role of Core Group Members in Implementation
(Paragraph Response)
Examples: identifying suitable devices, ensuring compliance with rules.
5.2 Collaboration Recommendations
(Paragraph Response)
Examples: disability rights experts, rehabilitation professionals, assistive technology developers.
Section 6: Additional Notes
6.1 Challenges Anticipated
(Paragraph Response)
Examples: logistical issues, lack of funding, limited availability of certain devices.
6.2 Recommendations or Additional Suggestions
(Paragraph Response)
Provide any other relevant input or ideas.
Submission Confirmation
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Okay, I couldn't attend the 6th January meeting because my mobile charge was exhausted. If possible, please share the meeting minutes.Sir, please send me the video of the 6th January meeting otherwise I won't able to fill up the Google Form Structure Title of the Form.
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