Jaden’s Voice Product Review Questionnaire Order Number Thank you for taking the next step to becoming Autism Friendly! Your dedication and commitment to the autism community is appreciated. Below are a few benefits of having Autism Friendly Products: (1) Reach the autism community as a whole. (2) Gain exposure from one of their trusted sources of information. (3) Potentially increase your revenue. (4) Improve your search engine results. (5) Increase your email marketing database as potential customers reach out to you. (6) Free placement in Jaden's Voice Autism Friendly Directory for 1 year. *Please note: Upon completion of our questionnaire, you will be required to submit a physical version of your product for review by our Jaden's Friends In-House Experts. It could take up to 30 days from receipt of your product before final approval is awarded. After submitting your answers, you will receive an email providing next steps and the address to mail your product. This certification is valid for one product. A new form should be completed for additional products requiring consideration for certification. Before you begin we need to gather some background information about you that will be included in our Jaden's Voice Autism Friendly Directory. Take pride in knowing that proceeds from your donation are used to help fund advocacy services for those in need! 🙂 To begin your Jaden's Friends Autism Friendly Certification, a small donation of $99.95 is required. Please click the following link to make your donation via PayPal. Once your payment has been made, you will be redirected back to this page to complete the questionnaire. http://bit.ly/AutismFriendlyQuiz Check payment Checking this box denotes your payment has been made. Email address * Please include all information as this will make it easy for your services to be found by potential customers who have registered in our Jaden's Friends Directory! First Name of Contact Person * Last Name of Contact Person * Title of Contact Person * Company Name * Company Street Address * City State Zip Code * Company Phone Number * Company Website * Company Twitter * Company Tagline (if applicable) * Please upload a picture of your Company logo and business card. (Must be at least two pictures sized 200 x 200 pixels or squared) * Add File What is the name of your product? * How does your product fulfill a need in the autism community? * Which developmental need does your product support? (select all that apply) * Sensory Speech Cognitive Social Interaction Behavior Fine Motor Skills Recognitions All of the above Other (Please use the space below to complete your answer to this question) If you answered How does your product assist the developmental needs of a person diagnosed or impacted by autism? * What age group is your product targeted to toward? * How does your product work? * How easy or difficult is the product to use? (1 being very easy and 5 being difficult.) * Does the product come with instructions? * Is this product for use by the individual diagnosed with autism or their caregiver/service provider? (Explain) * What problem does your product solve? * How long has your product been in existence? * Is there support for any issues that may occur pertaining to the product? * Please provide us with direct link to your product or service. * What is the cost of your product? * What else would you like us to know about your product? *
