This final report describes the design, development, and testing of the Multiple Output Sensory Trainer (MOST), a computer-based system which enables the evaluation of students with visual impairments to determine the optimal combination of sensory adaptive aids to meet their needs. The system uses multimedia devices in conjunction with customized software. The MOST system also assists visually impaired students in gaining access to print handouts. The system is portable and can quickly convert printed handouts to either braille or large print. The system can be used to design customized lessons for the student which he/she can then use on a home MOST computer. The report details the rationale behind the selection of the specific MOST hardware (IBM PC-type) and software (Windows operating system). It also explains design of the MOST user interface, the MOST relational database, the design of program linkage, and selection of a scanner to allow print-to-Braille/large print conversion. The system was field tested with four eighth grade students (two blind and two with low vision. Results indicated that all students did best with the high quality speech synthesizer. The low vision students did best with a combination of speech and large print. The totally blind students did not do any better with refreshable braille and speech versus just speech. The use of the 8.5 inch hand-held optical scanner to quickly convert print handouts to braille or large print was very beneficial. The use of the CD-ROM drive on the MOST system was useful to students in performing research. Also, the ability of the itinerant vision teacher to create MOST lessons using the object oriented programming language was very useful. (DB)