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* 1. What is your role? Are you a parent, professional or Deaf/Hard of Hearing adult from Alabama? Please select all that apply.

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* 2. If you are a professional who works with Deaf and Hard of Hearing children, what is your role?

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* 3. What are your hopes for an Alabama chapter of Hands & Voices?

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* 4. What are your needs, regarding Deaf and Hard of Hearing children in Alabama?

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* 5. Which of the following areas interest you. Please select all that apply.

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* 6. Please share your name and contact information, including email. Your information will not be shared with anyone outside the leadership of Alabama Hands & Voices.

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* 7. Any comments?

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