Family Deaf & Hard of Hearing Survey

Your Feedback is Important

The Department of Developmental Services recently identified a substantial need for additional support for the Deaf+ community and have allocated funding to develop culturally and linguistically sensitive client supports. As the FDLRC Deaf Access Specialist, I am working to identify the needs of the our community as well as develop new resources. I want to gather some information so that we can best serve the Deaf+ community.  
 
1.What is your full name?
2.What is your email or phone number?
3.I am a:
4.What age is the client of the Regional Center
5.What geographic area do you live in?
6.Are you Deaf or Hard of Hearing?
7.Do you have a Deaf or Hard of Hearing  family member?
Current Progress,
0 of 20 answered