National Deaf Seniors Survey

Welcome Message:

šŸŽ„Ā Watch the Welcome Video: Ā https://youtube.com/shorts/LZt94Fn6I6E

Thank you for participating in this important survey fromĀ Deaf Seniors of America (DSA)Ā and theĀ National Association of the Deaf (NAD).

Your input will help us better understand theĀ needs, challenges, and strengthsĀ of Deaf older adults.

āœ… You must beĀ 50 years or olderĀ to complete this survey.
āœ… YourĀ personal contact information will remain confidential.
āœ… Survey results will be shared publiclyĀ in summary formĀ to guide programs, policies, and services.

ā± The survey should take aboutĀ 10–15 minutesĀ to complete.

šŸ“Š Findings will be presented at theĀ NAD 2026 Conference in San FranciscoĀ and made available to the public.

šŸ‘‰ If you would like assistance completing this survey in ASL, please emailĀ info@deafseniors.us. A DSA team member will contact you to schedule aĀ Video Phone (VP)Ā meeting.

Ā  Ā  Ā  Ā  Ā  Ā  Ā  Ā  Ā  Ā  Ā  Ā  Ā  Ā  Ā  Ā  Ā Your input matters—thank you for lending your voice to this effort!

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Q1. What is your age group ?Ā  *
Q2. Ā What is your gender identity? *
Q3. Ā How do you identify? *
Q4. Ā What is your race/ethnicity ? *
Q5. Ā What state do you live in ?Ā  *
Q6. Ā What is your current living arrangement ? *
Q7. Ā If selected other (please specify) your living arrangementĀ 
Q8. Ā How would you rate your overall health ? *
Q9. Ā Do you have any chronic health conditions that affect your daily life? *
Q10. Ā Do you currently receive health services with accessible communication ?Ā  *
Q11. Ā What challenges do you face in accessing healthcare? *
Q12. Ā Do you currently have a caregiver (family member, friend or paid professional) ? *
Q13. Ā Caregiver SupportĀ Section (0nly if you answered YES)

Who provides most of your caregiving support ?Ā 
Clear selection
Q14. Ā Continued Caregiver Support - if you answered YES

How easy is it for you to communicate with your caregiver?
Clear selection
Q15. Ā Continued Caregiver SupportĀ - if you answeredĀ YES

What communication methods do you and your caregiver use most often? (check all that apply)Ā 
Q16. Ā Continued Caregiver SupportĀ - if you answeredĀ YES

Has your caregiver received any training about Deaf culture,Ā accessibility, or communication needs?Ā 
Clear selection
Q17. Ā Continued Caregiver SupportĀ - if you answeredĀ YES

WhatĀ resources would help caregivers better support deaf older adults? Ā (check all that apply)Ā 
Q18. Ā (Optional - caregiver respondents)Ā 

As a caregiver, what are the biggest challenges you face supporting Ā Deaf older adult?Ā 
Q19 . Ā (Optional - caregiver respondents)

How confident do you feel in meeting the communication needs of the person you care for?
Clear selection
Q20. Ā How often do you participate in Deaf clubs, senior groups, or community events?Ā  *
Q21. How do you stay connectedĀ ? (Check all that apply) *
Required
Q22. Ā What barriers prevent you from participating in community activities?Ā  *
Q23. Ā What type of housing do you live in now?Ā  *
Q24. Ā What services would you like to see more available in your area? Ā (Check all that apply)Ā  *
Required
If checked other (please specify)Ā 

Q25. What is the biggest challenge for you?

*
Q26. Ā Which areas should DSA focus on most (Check up to 3)Ā  *
Required
Other (please specify)Ā 
Q27. Ā Is there anything else you want to share?
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