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Hearing Impaired Survey
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* Indicates required question
What is your gender?
*
Choose
Male
Female
What is your age group?
*
Choose
10-13
14-15
16-18
19-21
21+
Are you or do you know anybody who is hard of hearing?
*
Choose
Yes
No
Are you or do you know anybody who is deaf?
*
Choose
Yes
No
Do you have or do you know anybody who has a cochlear implant?
*
A cochlear implant is a surgically implanted electronic device that provides a sense of sound to a person who is profoundly deaf or severely hard of hearing.
Choose
Yes
No
Do you know sign language?
*
Choose
Yes
No
Somewhat
Who do you think should help the audibly disabled children in public schools?
*
Interpreters
Family
Friends
Teachers
Other:
Required
Who do you think should teach these children and teenagers to live on their own?
*
Government
Family
Friends
Teachers
Interpreter
Other:
Required
It is hard to communicate with hard of hearing or deaf people.
*
True
False
Should a hard of hearing or deaf student have an interpreter attend class with them if they need it?
*
Choose
Yes
No
Depends
What are some risk factors you can think of that a hard of hearing or deaf person will face living on their own?
*
Your answer
What are some devices that you know of that can help a hard of hearing or deaf person live on their own?
*
Your answer
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