Halob87 Assistive Device Services – Community needs survey, UDYAM-KL-02-0158387

Halob87 · halob87.in

Help Us Build the Support System You Deserve

4–6 minutes · anonymous · your answers directly shape assistive services across Kerala

UDYAM-KL-02-0158387  ·  halob87.in
0 of 20 questions answered
All responses are anonymous and used solely to build better assistive services for individuals and caregivers across our region.
Section 1 of 5
About you
1What is your role?
2Age group
3Location type
Section 2 of 5
Disability & device profile
4Type of disability (select all that apply)
5Do you currently use an assistive device?
6Devices used or needed (select all that apply)
Section 3 of 5
Access & challenges
7How did you obtain your assistive device?
8Biggest challenges in accessing assistive devices (select all)
9Satisfaction with current device or service (1 = very poor, 10 = excellent)
Very dissatisfiedVery satisfied
10Distance travelled for device repair or servicing
Section 4 of 5
Service needs & preferences
11Services that would help you most (select all that apply)
12Preferred way to access services
13Preferred communication language
14Monthly budget you can afford for assistive services
15Awareness of government schemes (ADIP, ALIMCO, Madhusudan Das, etc.)
Section 5 of 5
Impact & your voice
16How has lack of assistive support affected your life? (select all)
17How likely are you to use Halob87 services once launched? (1 = unlikely, 10 = definitely)
Very unlikelyDefinitely will use
18Would you recommend halob87.in services to others in your community?
19What one change would most improve your quality of life?
20Optional contact for follow-up (only if you consent)

Confidential · used only for service development follow-up · halob87.in

Anonymous responses only · Halob87 · halob87.in
UDYAM-KL-02-0158387 · Kerala MSME

Thank you for making a difference!

Your response has been recorded. Every answer helps us design services that reach those who need them most across Kerala.

Halob87 · halob87.in · UDYAM-KL-02-0158387

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