Within the question bank, there are specific questions compatible with screen readers. These questions are designated with this symbol 
that when highlighted says "Compatible with screen readers."
Additional accessibility tips:
1) You can make assignments just for students who need specific types of questions like screen reader compatible questions. You can learn more here.
2) Our Support Team can provide printed versions of assignments. You can submit a request for a printed assignment here.
3) To find additional information about accessibility, please visit http://aktiv.com/accessibility.
If you have any additional questions or feedback, you can email us here.