Behavioral Health Needs of Deaf and Hard of Hearing Georgia Residents
Principal Investigator: Kota Takayama, PhD, Gallaudet University

Address: Gallaudet University, 800 Florida Avenue, NE, Washington, DC 20002
Video Phone: 202-618-6859

E-mail: kota.takayama@gallaudet.edu
Co-Investigator: Jenna Morris, BA, CHES, Deaf Access to Quality Life

You are invited to participate in a community needs survey by Deaf Access to Quality Life in partnership with Dr. Kota Takayama. To participate, you must be over the age of 18 and Deaf or Hard of Hearing Georgia residents.  

For this study you will:
1. Answer questions about your mental health services needs.
2. Your participation should take approximately 10-15 minutes.

Language: If you have questions about a particular question, you can email us to ask for clarification or skip the question.

Risks: There is no more than minimal risk to individuals who participate in this research study.

Benefits: Your participation in this study will create a valuable contribution to the literature by adding information about Deaf and Hard of Hearing people.

Confidentiality: Your information is anonymous. No one, not even the researcher will know your identity.

Voluntary Participation: Your participation in this study is voluntary. If you decide not to participate in the study, you do not need to complete the survey. You may withdraw from the study at any time before or during data collection, for any reason.

Results: You will not be given your survey results obtained during this study at the end of participation.

Intent to Participate: If you would like to participate, please begin by answering the questions below. If you have any questions or concerns, please contact Dr. Kota Takayama at kota.takayama@gallaudet.edu or Gallaudet IRB  at irb@gallaudet.edu.
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Video:  Intro to DAQL
Video:  Do you consent to participate in this survey?
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