Pearson Accessible Math User Study: Recruitment Questionnaire for Students 18 and Over

The study will be held at the National Federation of the Blind 2016 National Convention

Please complete the following items. This will help us determine if you are a good match for this study.

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1. Please indicate your plans for the 2016-2017 school year:

I will be a senior in high school

I will be attending college full-time

I will be attending college part-time

I will be working

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2. Have you completed Algebra 1?

Yes

Not applicable because I took different kinds of math classes in high school (please list examples below)

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3. Do you have an identified or documented visual impairment? (This could include a designation in a Section 504 Plan, an IEP under IDEA, or other primary diagnosis as having a visual impairment, including such conditions as blindness or low vision).

Yes

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4. How would you best describe your visual impairment?

Blind

Low Vision

Combination of blind and low vision that is dependent on the environment, context, or circumstances. Please explain below.

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5. Are you an English Language Learner (ELL or ESL)?

Yes

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6. Do you have any of the following conditions: severe hearing impairment, cognitive or intellectual disability, or a severe motor impairment?

Yes

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7. What is your preferred method for reading materials used in language arts or social studies classes?

Having someone read materials out loud

Listening to recordings of materials on tape, CD, MP3, etc

Having a computer read them out loud (using JAWS, NVDA, VoiceOver another screen reader)

Reading materials in braille, either on paper or on a braille display or note taker

Reading materials using zoom or screen magnification on a computer

Reading materials in large print on paper

Using a CCTV for materials printed on paper

Other (please specify)

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8. What is your preferred method for reading materials used in math classes?

Having someone read materials out loud

Listening to recordings of materials on tape, CD, MP3, etc

Having a computer read them out loud (using JAWS, NVDA, VoiceOver or another screen reader)

Reading materials in braille, either on paper or on a braille display or note taker

Reading materials using zoom or screen magnification on a computer

Reading materials in large print on paper

Using a CCTV for materials printed on paper

Other (please specify)

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9. If you are a braille reader, do you use Nemeth braille for math and/or science coursework?

Yes

Not applicable - I am not a braille reader

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10. Do you have any experience using a refreshable braille display together with a screen reader (for example, JAWS, NVDA, Window-Eyes or VoiceOver) while reading or writing materials on a computer?

Yes

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11. If you have low vision, which of the following methods do you use when reading materials such as web pages on a computer?

I don't anything different - I am able to read regular sized font on the computer

I use a browser or other computer settings to zoom the text larger and/or change contrast

I use a special screen enlargement software like ZoomText or MAGic

Not applicable - I do not have sufficient vision to effectively view the screen even with high magnification

Other (please specify)

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12. How confident are you with math activities (math games, math assignments, math tests, etc)?

Not confident

Confident

Very confident

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13. Are you more confident with paper-based or digital-based math activities (math games, math assignments, math tests, etc)?

Paper-based math activities

Digital-based math activities

Confident with both paper and digital

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14. Rate your technology skill level with using a computer or a mobile device with online content:

Beginner

Intermediate

Advanced

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15. Are you comfortable sharing your opinion while being recorded?

Yes

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* 1. Please indicate your plans for the 2016-2017 school year:

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* 2. Have you completed Algebra 1?

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* 3. Do you have an identified or documented visual impairment? (This could include a designation in a Section 504 Plan, an IEP under IDEA, or other primary diagnosis as having a visual impairment, including such conditions as blindness or low vision).

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* 4. How would you best describe your visual impairment?

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* 5. Are you an English Language Learner (ELL or ESL)?

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* 6. Do you have any of the following conditions: severe hearing impairment, cognitive or intellectual disability, or a severe motor impairment?

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* 7. What is your preferred method for reading materials used in language arts or social studies classes?

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* 8. What is your preferred method for reading materials used in math classes?

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* 9. If you are a braille reader, do you use Nemeth braille for math and/or science coursework?

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* 10. Do you have any experience using a refreshable braille display together with a screen reader (for example, JAWS, NVDA, Window-Eyes or VoiceOver) while reading or writing materials on a computer?

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* 11. If you have low vision, which of the following methods do you use when reading materials such as web pages on a computer?

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* 12. How confident are you with math activities (math games, math assignments, math tests, etc)?

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* 13. Are you more confident with paper-based or digital-based math activities (math games, math assignments, math tests, etc)?

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* 14. Rate your technology skill level with using a computer or a mobile device with online content:

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* 15. Are you comfortable sharing your opinion while being recorded?

1. Please indicate your plans for the 2016-2017 school year:

2. Have you completed Algebra 1?

3. Do you have an identified or documented visual impairment? (This could include a designation in a Section 504 Plan, an IEP under IDEA, or other primary diagnosis as having a visual impairment, including such conditions as blindness or low vision).

4. How would you best describe your visual impairment?

5. Are you an English Language Learner (ELL or ESL)?

6. Do you have any of the following conditions: severe hearing impairment, cognitive or intellectual disability, or a severe motor impairment?

7. What is your preferred method for reading materials used in language arts or social studies classes?

8. What is your preferred method for reading materials used in math classes?

9. If you are a braille reader, do you use Nemeth braille for math and/or science coursework?

10. Do you have any experience using a refreshable braille display together with a screen reader (for example, JAWS, NVDA, Window-Eyes or VoiceOver) while reading or writing materials on a computer?

11. If you have low vision, which of the following methods do you use when reading materials such as web pages on a computer?

12. How confident are you with math activities (math games, math assignments, math tests, etc)?

13. Are you more confident with paper-based or digital-based math activities (math games, math assignments, math tests, etc)?

14. Rate your technology skill level with using a computer or a mobile device with online content:

15. Are you comfortable sharing your opinion while being recorded?