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Part 1: Assistive Tech Survey

Questions 1–10

Complete the notes below.
Write ONE WORD AND/OR A NUMBER for each answer.

Glasses repair

Customer name: Omar Nouri

Problem
Part damaged: left [1] ____________________
Frame material: [2] ____________________
Colour: [3] ____________________

Booking
Day to bring glasses: [4] ____________________
Time: [5] ____________________
Street name: [6] ____________________

Cost and time
Repair time: [7] ____________________ days
Basic fee: [8] £ ____________________

Contact and reference
Preferred update method: [9] ____________________
Repair number: [10] ____________________