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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!
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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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