1. Qualifying questions

Hello and thank you for your interest in our interview study about implantable hearing solutions. To help us see if you qualify, please answer the questions below. If you are chosen to participate, you will receive $250 to thank you for your time and feedback.

* 1. Who is the recipient of the implantable hearing solution?

* 2. If your child received an implantable hearing solution, please state which of the following applies to you?

* 3. Is your / your child’s hearing loss in one ear or both ears..?

* 4. Gender

* 5. Age

* 6. Can you tell me if you / your child’s hearing solution is…

  An implant for each ear (i.e. a bilateral solution) An implant for one ear, and a hearing aid for the other ear (i.e. a bimodal solution) An implant for one ear, and no device for the other ear
You
Your child

* 7. Can you tell me if your / your child’s bilateral hearing solution was fitted…

  At the same time in both ears At different times for each ear
You
Your child

* 8. And can you tell me what type of implantable hearing solution you / your child have / has?

  Cochlear implant system Bone anchored hearing device
You
Your child

* 9. If you know, what is the model of implantable hearing solution that you / your child has been fitted with?

* 10. Can you now tell me which implantable hearing solution brand that you / your child has been fitted with?

  Cochlear Medel Advanced Bionics (AB) Neurelec / Oticon Nurotron Other
You
Your child

* 11. If you know, what sound processor did you / your child receive with their [cochlear implant system / bone anchored hearing device]?

* 12. Please state how old you were / your child was when you / they were first diagnosed with hearing loss / impairment?

* 13. And how old were you / was your child when you / they received the implantable hearing solution?

* 14. Have you or your child received an upgrade to the implantable hearing solution's sound processor since the original system was fitted?

  Yes, within the last 2 years Yes, within the last 5 years Yes, but longer than 5 years ago No
You
Your child

* 15. Do you know what sound processor you / your child upgraded to?

* 16. If you purchased any accessories for you / your child’s implantable hearing solution within the last 12 months, please describe them.

* 17. Through which means was your and/or your child’s implantable hearing solution funded / reimbursed through:

  The public healthcare system The private healthcare system Other (e.g. self-funded / DVA)
You
Your child

* 18. Does your child have any medical conditions other than hearing impairment?

* 19. How familiar are you with using Skype?

* 20. What is your occupation?

* 21. What is the highest level of education you have completed?

* 22. May we contact you in future about other market research studies?

* 23. How did you learn about this research?

Thank you very much for answering our questions! We will follow up with you by telephone very soon if you appear to qualify for this study.

* 24. Please provide your contact information below.

T