Health of individuals with Visual Impairment_ Parent Survey

* 1. Dear Parent:

We are faculty at Butler University. We would like to develop programs to improve the health of individuals with special needs and disabilities. In this project, we are focusing our efforts towards individuals (children, adolescents and young adults), with visual impairments.

To develop these programs, we first need to gather information from parents/caretakers of individuals with visual impairments along with suggestions on the best way to deliver health promotion programs.

Please complete this online survey, which should take about 20 minutes. If you have more than one child with a Visual Impairment in your home, you are welcome to complete the survey a second time with information about that child too (i.e., one survey per child/individual with visual impairment)

Findings from this survey will help us design programs that will best suit parents, caretakers and children with visual impairments.

Participation in this study is voluntary. Your answers will remain confidential and you can skip any particular question. All information from the surveys will be kept in an online file in a password protected computer, and destroyed at the end of the project.

If you would be willing for us to contact you for a brief interview (15 minutes) or additional research intervention projects, please provide us with your first name and contact information at the location indicated at the end of the survey.

The Butler University Institutional Review Board has approved this project.

If you have any questions regarding this project, please contact either of us at our contact information listed below.

Thank you for your attention.

Sincerely,


Suneeta Kercood, Ph.D.
Associate Professor, Special Education
College of Education, Butler University
skercood@butler.edu

Priscilla Ryder, M.P.H., Ph.D.
Assistant Professor Pharmacy Practice
College of Pharmacy and Health Sciences
pryder@butler.edu


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