SURVEY ON INDIVIDUAL PERCEPTIONS

Please read the following statements carefully and rate how strongly you agree or disagree with them.

1.)Strongly Disagree

2.)Disagree

3.)Undecided

4.)Agree

5..)Strongly Agree

1.) My parents read regularly to me as a child

1.) Strongly Disagree 2.) Disagree 3.) Undecided 4.) Agree 5.) Strongly Agree

2.) Technology helps me live in both the hearing and Deaf world.

1.) Strongly Disagree 2.) Disagree 3.) Undecided 4.) Agree 5.) Strongly Agree

3.) The communication between a student and the teacher is important for the development of reading and writing in English.

1.) Strongly Disagree 2.) Disagree 3.) Undecided 4.) Agree 5.) Strongly Agree

4.) I prefer face-to-face interactions rather than writing things on paper.

1.) Strongly Disagree 2.) Disagree 3.) Undecided 4.) Agree 5.) Strongly Agree

5.) Signed Exact English (SEE) provides a strong foundation for learning to read and write.

1.) Strongly Disagree 2.) Disagree 3.) Undecided 4.) Agree 5.) Strongly Agree

6.) I communicate fluently with my parents.

1.) Strongly Disagree 2.) Disagree 3.) Undecided 4.) Agree 5.) Strongly Agree

7.) I rely on others to tell me what is going on in world news.

1.) Strongly Disagree 2.) Disagree 3.) Undecided 4.) Agree 5.) Strongly Agree

8.) It is extremely important to know how to read and write English.

1.) Strongly Disagree 2.) Disagree 3.) Undecided 4.) Agree 5.) Strongly Agree

9..) I would be a better reader if my parents would have read to me more as a child.

1.) Strongly Disagree 2.) Disagree 3.) Undecided 4.) Agree 5.) Strongly Agree

10.) SignWriting is the best way to teach D/HH children to read and write.

1.) Strongly Disagree 2.) Disagree 3.) Undecided 4.) Agree 5.) Strongly Agree

11.) I read the newspaper and/or magazines daily.

1.) Strongly Disagree 2.) Disagree 3.) Undecided 4.) Agree 5.) Strongly Agree

12.) I enjoy writing to others as a way to express myself.

1..) Strongly Disagree 2.) Disagree 3.) Undecided 4.) Agree 5.) Strongly Agree

13.) My parents understood me as a child.

1.) Strongly Disagree 2.) Disagree 3.) Undecided 4.) Agree 5.) Strongly Agree

14.) The oral method is the best way for D/HH children to learn to read and write.

1.) Strongly Disagree 2.) Disagree 3.) Undecided 4.) Agree 5.) Strongly Agree

15.) It is better to have a Deaf instructor than a hearing instructor who is proficient in American Sign Language.

1.) Strongly Disagree 2.) Disagree 3.) Undecided 4.) Agree 5.) Strongly Agree

16.) I find it difficult to remain interested in novel.

1.) Strongly Disagree 2.) Disagree 3.) Undecided 4.) Agree 5.) Strongly Agree

17.) My parents wrote notes to keep me informed about their comings and goings.

1.) Strongly Disagree 2.) Disagree 3.) Undecided 4.) Agree 5.) Strongly Agree

18.) I wish that I could read English better.

1.) Strongly Disagree 2.) Disagree 3.) Undecided 4.) Agree 5.) Strongly Agree

19.) It does not make a difference in what communication foundation the child has, but that he/she can read and write.

1.) Strongly Disagree 2.) Disagree 3.) Undecided 4.) Agree 5.) Strongly Agree

20.) I enjoy reading novels.

1.) Strongly Disagree 2.) Disagree 3.) Undecided 4.) Agree 5.) Strongly Agree

21.) I am involved and aware in both the Deaf and Hearing world regardless of technology.

1.) Strongly Disagree 2.) Disagree 3.) Undecided 4.) Agree 5.) Strongly Agree

22.) I watch (closed-captioning) TV for information regarding current news.

1.) Strongly Disagree 2.) Disagree 3.) Undecided 4.) Agree 5.) Strongly Agree

23.) I learned most of my English skills in school.

1.) Strongly Disagree 2.) Disagree 3.) Undecided 4.) Agree 5.) Strongly Agree

24.) Cued Speech is a strong foundation for learning to read and write.

1.) Strongly Disagree 2.) Disagree 3.) Undecided 4.) Agree 5.) Strongly Agree

25.) I learned how to communicate (language skills) in school.

1.) Strongly Disagree 2.) Disagree 3.) Undecided 4..) Agree 5.) Strongly Agree

Answer the following questions with a Yes/No

Now         As a child

First space for NOW second for AS A CHILD

I have a palm pilot. ________        ________

I have a pager. ________       ________

I have a diary or journal that I use. ________       ________

I have a TTY in my home. ________       ________

I have internet access. ________       ________

I have a caption decoder for my television. ________       ________

I use instant messaging. ________           ________

Answer the following questions with a Yes/No

I have a sibling who is Deaf/hard of hearing. ________

I have a parent who is Deaf/hard of hearing. ________

I have a child who is Deaf/hard of hearing. ________

I am a member of the Deaf culture. ________

My teachers used technology (computers/closed captioning) as

a way to help teach reading skills. ________

 

1.) Check all that apply- Demographics                    

Parents          Yourself

_____             _____Some High School

_____            _____High School Graduate

_____           _____Some College

_____          _____Four Year College Degree

_____          _____Masters Degree

_____          _____Doctorate Degree

2.) Racial Background (circle one)

A.) Caucasian

B.) Asian

C.) African American

D.) Hispanic

E.) Other

 Gender M or F (circle one)

3.)  Age Range

18-25 _____26-35_____

36-45_____

46+ _____

4.) Age onset of hearing loss:

At Birth ______

0-2 ______

2-5 ______

5 + ______

5.) Professional Role:_____________________________________________________

6.) Language spoken home:________________________________________________

7.) What language do you feel the most comfortable using?:_______________________

8.) What type of school did you attend when you were learning how to read (mainstream, oral, manual, bilingual etc.)?_________________________________________________

9.) Survey distributed by (circle one): Postal Mail, Internet, Researcher, Educator, Other