An evaluation, can be scheduled with us in you area, or if none exists, with LC Technologies . The evaluation can be performed at your home, school, or other facility. Prior to scheduling an evaluation, you may be asked to complete a pre-evaluation questionnaire and send it to your distributor or LC Technologies. The questionnaire will be reviewed, and you will be contacted to discuss the potential for successful Eyegaze use.

                                      (Download the Questionnaire PDF) 

                            For general information - Please fill in the form below.

* Required fields
Name *
E-mail Address *
Phone #
Address 1
Address 2
Best Time to Contact
Preferred Contact Method
Request Evaluation
Request from:
Description of Request

Please enter the code shown above and click the 'Submit Form' button. This additional step is required to help protect against message spam.

google-site-verification: google9d353879aca40daa.html