Regional Needs for Deaf and Hard of Hearing Services

Thank you for taking the time to complete the 11 questions on this survey! The answers will be used to develop programs and services to meet the needs of the Deaf and Hard of Hearing communities across the state. Your individual answers are private.

Question Title

* The city/town that I live closest to is…

Louisville

Lexington

Cincinnati

Bowling Green

Owensboro

Hazard

Corbin

Hopkinsville

Other (please specify)

Question Title

* I am…

Deaf

Hard of Hearing

Deaf-Blind

Parent of a Deaf or Hard of Hearing Child

Other (please specify)

Question Title

* The one service I wish we had more of in my community is…

Help for families with Deaf children

Help to stop drinking or doing drugs

Counselors who sign or know about Deaf and Hard of Hearing Issues

Domestic Violence Help

Help for older adults / senior citizens

Children’s Services

Mental Health for Deaf or Hard of Hearing Adults

Case Management

Support Groups

Question Title

* I am interested in learning more about…(Pick 3 maximum)

Advocacy (Getting Interpreters, Services)

My Rights and the Law

American Sign Language and Deaf Culture

Help in the Community - Resource Fair

Technology

Privacy and Technology

Parenting / Taking Care of My Kids

Handling Kids’ Behavior or Mental Health Problems

Taking Care of My Body (Physical Health)

Taking Care of My Mental Health (Thoughts and Feelings)

Abuse and Neglect – Prevention and Treatment

Getting Older – Senior Needs

How to Help Other People when they need it (Peer Support)

Other (please specify)

Question Title

* The best day of the week for me to attend an event is…

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Question Title

* The best time of day for me to attend an event is…

Morning (9-12)

Afternoon (12-5)

Evening (5-9)

Question Title

* Sometimes I can’t attend events or programs because…(check all that apply)

No way to get there

No money

No childcare

Don’t want others in the Deaf community to see me

Work Schedule

Too Busy

Afraid I can’t Sign Good Enough

Question Title

* I am more likely to come to an event if…

There is Free Food

They have Door Prizes

I Know Someone Who is Going

There is Social Time Too

It is in ASL

There are Interpreters there

There is captioning available

Other (please specify)

Question Title

* I feel comfortable going to events at…(Check All That Apply)

Churches

Deaf Community Centers

Social Service Agencies

Community Mental Health Centers

Libraries

Vocational Rehabilitation

Interpreting Agencies

Schools

Other (please specify)

Question Title

* When I need help the first place I go is…

Friends

Family

Church

Community Mental Health Center

Deaf Club

KY Commission on the Deaf and Hard of Hearing

Hearing Loss Association of Kentucky

Vocational Rehabilitation

Interpreter

Other (please specify)

Question Title

* Would I like to be on an email list about community events?

If yes, my email address is: