Learning Ally's College Success Program - Student Survey
Thank you for taking our survey! Your responses will help Learning Ally better understand the needs of high school students who are blind or visually impaired and who will be transitioning to college and employment. Your responses will be kept confidential. However, we do ask for your contact information in case we need to reach out with any questions.
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Name: *
Email: *
Phone Number
How old are you? *
1 point
What grade of high school or year/semester of college are you completing this academic year? *
Which description most accurately portrays your high school environment? *
If you are already in college, what type of college do you attend?
Clear selection
In high school, did you or do you currently have additional support besides a TVI, such as transcribers or paraprofessionals? *
How does the current support structure in your school help and/or hinder you in your learning? *
What is your eye condition? *
How would you describe your visual impairment to someone who doesn't know much about various eye conditions? *
Your Readiness for College and/or the World of Work
The following questions will help us understand your thoughts and observations about your independence in educational settings.
I... *
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Know which learning media (braille, print, audio) I need to learn best.
Have a good backup strategy when the learning media does not work, isn't available, etc.
I can... *
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Study independently, without assistance from a teacher or parent/guardian.
Manage my time independently.
I can talk to classroom teachers independently... *
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
About the accommodations I need to succeed.
When I have problems in a class that I cannot solve; I am prepared to discuss the problem and to help brainstorm solutions.
I have... *
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Used technology to conduct research, write papers and complete assignments and tests.
Learned about a variety of career options by job shadowing, conducting informational interviews, etc.
Spent at least some of my leisure time with my peers.
I travel independently... *
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Within familiar environments, such as home and school.
Throughout the community.
Additional Feedback
The following questions will give you the opportunity to share more about your experiences as a transition student who is blind or visually impaired. Please write your answers in the spaces provided.
List some specific goals or skills you and your TVI have agreed you will accomplish this school year. If you are in college, list some academic, professional and/or personal goals you hope to accomplish this year.
Describe the progress you are making with these goals or skills.
If you have not accomplished these goals or are not working on them, list some reasons why.
Are there specific types of support you wish you could have? Please list them here.
Please list the careers you are interested in or hope to have in the future.
List the top 3 things you do well.
What obstacles or challenges could you imagine encountering as you transition to college and employment?
What kinds of challenges would you like to overcome before heading to college or employment?
We sometimes need to reach out to students to conduct additional research. Would you be interested in being interviewed by a member of our research team?
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