Optimizing the fit between the client and his or her computer access technology is critical [1-16]. An inadequate assessment resulting in a poor computer access solution can be costly on a number of levels [1, 5]. At best, an inappropriate computer access solution may merely make someone less efficient. At worst, the wrong computer access solution may actively interfere with an individual’s ability to compete in the classroom or workplace [17, 18]. A poor computer access solution is also likely to be abandoned , representing a waste of time and resources for all involved.