HSS dyslexia program questionairre

During the flood of 2022 Hindman Settlement School suffered considerable losses, including many of the records of our former dyslexia school students. In an effort to get new and updated information about our former students we created this questionnaire to find out when you were here, where you are now, and how your time in the HSS dyslexia program helped you in your academic and professional life. We love hearing about your success and achievements! Thank you for taking the time to fill out this survey.
The information collected here will not be sold or transferred to any third party or otherwise used except for our own records. 

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* 1. Name

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* 2. Maiden Name

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* 3. Address

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* 4. Occupation

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* 5. Education (select all that apply)

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* 6. What was your first year in the HSS dyslexia program?

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* 7. Which programs did you attend (select all that apply)?

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* 8. How many years did you attend HSS dyslexia Program?

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* 9. Ten being the highest rating, how would your rate your time spent in the HSS dyslexia program?

1 5 10
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i We adjusted the number you entered based on the slider’s scale.

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* 10. Tell us how the dyslexia program positively influenced your life.

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* 11. Do you have any other fond memories or favorite staff members you would like to tell us about?

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* 12. Would you be interested in receiving updates about HSS dyslexia program?

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