We are interested in hearing from you if you have a significant hearing loss and either considered, or received, at least one cochlear implant after the age of 21.

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* 1. Do you have a cochlear implant?

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* 2. If you answered yes, when did you get your first cochlear implant?

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* 3. How long did you wait to move forward with your first cochlear implant (if you have more than one, just reference your first) after you first learned you were a candidate?

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* 4. If you waited to move forward, why did you wait? Indicate all factors that entered into your decision to wait.

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* 5. If you don't have a CI and you believe you are a candidate for a cochlear implant, why haven't you moved forward? (Select all items that are relevant reasons for you.)

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* 6. If you did not go forward with a CI, what might have helped you to make a positive decision?

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* 7. Are you willing to answer additional questions about your decision-making to help us better understand the cochlear implant process from the perspective of adults with significant hearing loss?  If  yes, please add your name and email address below. We will not share your personal information with anyone else.

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