Assistive Technology Impact Assessment
About this free form template

Transform Lives Through Assistive Technology—And Prove Your Impact

For nonprofits providing assistive technology to people with disabilities, showing measurable impact is essential for donor stewardship, grant reporting, and program improvement. This Assistive Technology Impact Assessment template helps you systematically capture outcome data across device provision, training effectiveness, employment enablement, and quality of life improvements—turning individual success stories into compelling, data-driven impact reports.

Built for assistive technology programs that need to demonstrate real-world outcomes

Whether you're distributing screen readers, mobility devices, communication aids, or adaptive equipment, this form captures the full journey from initial device provision through long-term independence gains. Track which devices were provided, assess training completion rates, measure employment and education outcomes, and document quality of life improvements across daily living, social participation, and psychological well-being.

The structured format ensures consistency across all program participants while conditional logic adapts questions based on device type and individual circumstances—giving you clean, comparable data for funders without creating unnecessary burden on participants.

Paperform makes impact reporting painless

With Paperform's conditional logic, you can show different follow-up questions based on device type, training completion, or employment status—keeping the assessment relevant and concise for each participant. Use calculations to automatically score quality of life metrics or track progress over time.

Connect your completed assessments directly to your CRM, donor database, or grant management system through native integrations or Stepper workflows (stepper.io). Automatically generate thank-you emails to participants, trigger internal notifications when outcomes exceed targets, or compile quarterly impact summaries without manual data entry.

Use AI Insights to analyze hundreds of responses and identify common themes in open-ended feedback, success patterns across device categories, or areas where additional training support might improve outcomes—turning qualitative stories into actionable program intelligence.

Trusted by mission-driven organizations

Nonprofits and social service agencies working in disability services, rehabilitation, independent living centers, and assistive technology lending libraries rely on Paperform for professional, accessible forms that respect participant dignity while capturing the data needed for impact reporting. With SOC 2 Type II compliance and GDPR readiness, you can collect sensitive outcome data with confidence.

Build compelling impact reports that demonstrate to donors, foundations, and government funders exactly how assistive technology provision translates into independence, employment, and improved quality of life—all starting with a simple, respectful assessment form.

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deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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