Survey for Parents/Guardians of Children with Hearing Loss

This survey is most relevant for parents/guardians of school age children, from preschool through high school. You are welcome to submit your responses even if your child falls outside that category, indicating wherever necessary N/A for items that do not apply due to age.

If you are a professional serving children with hearing loss, please complete that survey here.
Both a parent and a professional? Please consider completing both surveys. Thank You!
Find out more about this project here.

    Background Information on Your Child & Family Life

    Your Child's Unique Details

    additional information

    your personal information * optional*

    Please complete below ONLY if you wish to be kept informed of this project and its resulting programs.

    connect

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