Hearing Impaired Survey Questions

What is your gender?

___ Male

___ Female

What is your age group?

___ 10-13

___ 14-15

___ 16-18

___ 19-21

___ 21+

Do you know anybody who is hard of hearing?

___ Yes

___ No

Do you know anybody who is deaf?

___ Yes

___ No

Do you know anybody who has a cochlear implant?

___ Yes

___ No

Do you know sign language?

___ Yes

___ No

___ Somewhat

Who do you think should help the audibly disabled children in public schools? Order of Importance

___ Teachers

___ Family

___ Friends

___ Interpreter

Who do you think should teach these children and teenagers to live on their own? Check all that apply

___ Government

___ Teachers

___ Family

___ Friends

___ Interpreter

It is hard to communicate with hard of hearing and deaf people.

___ True

___ False

Should a hard of hearing student have an interpreter attend class with them?

___ Yes

___ No

___ Depends

What are some risk factors you can think of that a deaf or hard of hearing person will face living on their own?

What are some devices that you know of that can help a deaf person live on their own?