_Test page for forms CRT Survey: Technician Competency & Training NameYour name and email address are not required. Please feel free to enter them if you would like to be kept up to date on the survey results. First Last Company Name (Employer)Email Please use your company email if possible.Did you come into your role from outside the Assistive Technology Industry? Yes No Section 1: Foundational KnowledgeQ1. Indicate your understanding of basic human anatomy relevant to seating and mobility by selecting one of the options below. No knowledge Limited knowledge Moderate knowledge Strong knowledge Expert knowledge Q2. Indicate your knowledge about interpreting basic Linear Body Measures and how they translate to adjusting the wheelchair or other equipment. No knowledge Limited knowledge Moderate knowledge Strong knowledge Expert knowledge Q3. Which CRT device categories do you feel most confident working with? (Select all that apply) Manual wheelchairs Power wheelchairs Seating systems Electronics / controls Standing frames / Stepping services Q4. Indicate your ability to diagnose and repair the following:Mechanical Bed Frames:Not at all ableSlightly ableModerately ableVery ableExtremely ableAlternating Air Mattresses:Not at all ableSlightly ableModerately ableVery ableExtremely ableHoists:Not at all ableSlightly ableModerately ableVery ableExtremely ableCommodes (Standard and Tilt-in-Space):Not at all ableSlightly ableModerately ableVery ableExtremely ableManual Wheelchair Components (self-propel, Tilt-in-Space):Not at all ableSlightly ableModerately ableVery ableExtremely ableManual Wheelchair Adjustments:Not at all ableSlightly ableModerately ableVery ableExtremely ablePower Assist Units:Not at all ableSlightly ableModerately ableVery ableExtremely ablePower Wheelchair Bases and Actuators:Not at all ableSlightly ableModerately ableVery ableExtremely ableWheechair Electronics and ProgrammingNot at all ableSlightly ableModerately ableVery ableExtremely ableQ5. What type of customer(s) do you service? (Select all that apply) Pediatric Adult Geriatric Bariatric Other OtherQ6. Do you know where to find the resources you need to Diagnose and Repair the equipment you service? Yes No Technical SkillsQ7. I am confident that I can perform routine maintenance on standard manual wheelchairs.Strongly disagreeDisagreeNeither Agree nor DisagreeAgreeStrongly agreeQ8. I am confident that I can perform routine maintenance on ultra lightweight manual wheelchairs.Strongly disagreeDisagreeNeither Agree nor DisagreeAgreeStrongly agreeQ9. I am confident that I can accurately troubleshoot power wheelchair electronics.Strongly disagreeDisagreeNeither Agree nor DisagreeAgreeStrongly agreeQ10. I am confident that I am proficient using computer software or programmers as diagnostic tools.Strongly disagreeDisagreeNeither Agree nor DisagreeAgreeStrongly agreeQ11. I am confident that I can accurately troubleshoot power wheelchair components and actuators.Strongly disagreeDisagreeNeither Agree nor DisagreeAgreeStrongly agreeQ12. Have you received formal training in seating system installation and adjustment? Yes, formal certification Yes, in-house training No formal training If you answered 'Yes, formal certification' or 'Yes, in-house training', please provide more information, i.e. 'What certification did you receive', 'Who provided the training', etc.Q13: In your technician role are you expected to assemble wheelchairs? Yes No Q14: In your technician role are you expected to adjust mounted backrests, and other components of a wheelchair? Yes No Q15. Which diagnostic tools/software do you use regularly?Compliance and SafetyQ16. I am familiar with any and all of my jurisdiction's regulations related to CRT devices.Strongly disagreeDisagreeNeither Agree nor DisagreeAgreeStrongly agreeQ17. I follow a standardized safety checklist when completing repairs.Strongly disagreeDisagreeNeither Agree nor DisagreeAgreeStrongly agreeQ18. I have been trained in infection control protocols for equipment handling.Strongly disagreeDisagreeNeither Agree nor DisagreeAgreeStrongly agreeService Delivery SupportQ19. How often do you assist Rehab Technology Suppliers (RTSs / ATPs) or clinicians during fittings? Daily Weekly Monthly Rarely Never Q20. What job tasks apply to your current role? Check all that apply Diagnose and Repair of Beds, Hoists, Commodes Assembly of Beds, Hoists, Commodes Diagnose and Repair of Manual Wheelchairs Assembly of Manual Wheelchairs Diagnose and Repair Power Assist Units Assemble and Install Power Assist Units Diagnose and Repair Power Wheelchair Components (including seating and standing actuators) Q21. I am comfortable communicating technical issues directly to clients/caregivers.Strongly disagreeDisagreeNeither Agree nor DisagreeAgreeStrongly agreeQ22. Do you have a process for escalating unresolved issues to clinical staff? Yes No Unsure Professional DevelopmentQ23. Have you completed any technician-specific certifications? (Select all that apply) AMRG Technician Certification VGM/US Rehab Training In-house training DMERT Training None Other (Fill in below) Other Certifications not shown aboveQ24. I am interested in pursuing advanced technician training and certification.Strongly disagreeDisagreeNeither Agree nor DisagreeAgreeStrongly agreeQ25. What emerging technologies do you feel least prepared to handle?
