Cell Phone Accessibility Survey

As part of our effort to improve cell phone accessibility, the American Foundation for the Blind (AFB) would like to be able to share details about your accessibility concerns or experiences with cell phone manufacturers and service providers. If you would prefer to file a complaint with the Federal Communications Commission now, see the instructions for filing FCC Form 475. May we share your name, address, and other contact information and details about your accessibility concerns with the company(ies) you mention below? [Required] Select Answer Yes No Section 1. Information about You Full Name [Required] Street Address [Required] City [Required] State [Required] Select Answer AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA WA WV WI WY Other (include with City) ZipCode [Required] Your e-mail address (personal, non-work preferred) [Required] Daytime Telephone Number (including area code) [Required] Your Cell Phone Number (including the area code) [Required] Your disability. [Required] Select Answer Blind Low Vision Deaf-Blind Other (please explain below) If you chose "Other" please explain here. Section 2. Information about the Telephone Equipment or Service. Please indicate the category of the problem you are having. Choose all that apply. Equipment Service Can't get accessible billing Can't get accessible documentation; Other (please explain below) If you chose "Other" please explain here. Date of purchase or attempt to purchase. Please indicate the manufacturer of the cell phone. Select Answer LG Motorola Nokia Panasonic Samsung Sanyo Sony Ericsson Other (please explain below) If you chose "Other" please explain here. What model phone did you purchase or attempt to purchase? If you are reporting a problem with a telephone service provider, please indicate the company. Select Answer Alltel AT&T Wireless Sprint PCS Wireless T-Mobile TracFone Verizon Wireless Virgin Mobile Other (please explain below) If you chose "Other" please explain here. Section 3. Information about Problem(s) with Telephone Equipment or Service. This section request information about the problem(s) you are experiencing with your equipment or service. You should answer as precisely as you can. Please provide specific details about the problem you are having with the telephone equipment or service. Based on your disability, please explain why the product or service is not accessible to you. Have you attempted to resolve your problem directly with the company(ies)? Please be as specific as you can, including the names of people you spoke with and the dates you spoke with them. What did you ask the company(ies) to do for you? What response did you get from the company(ies)?