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Provider 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 our community and to enhance or develop new resources. I want to gather some information so that we can best serve the Deaf+ community.  
1.What is your name?
2.What is the name of your organization?
3.What is your email?
4.What geographic area(s) do you serve?
5.What types of Regional Center funded services does your organization provide? (Check all the apply)
6.Has your organization ever utilized interpreter services ?
7.Are you aware of any assistive technology for communicating with clients who are Deaf or Hard of Hearing?
8.Do you currently or have you in the past provided services to clients who are Deaf or Hard of Hearing?
9.If you answered yes to question 8, describe your experience.
10.What barriers have you faced providing services to clients who are Deaf or Hard of Hearing?
11.Do you or your staff know American Sign Language (ASL)?
12.If you answered yes to question 10, what is you or your staff's fluency level?
13.If you answered no to question 10, are you willing to hire an ASL proficient staff member?
14.If you answered no or maybe, please tell us what you may need to do so.  (Select all that apply)
15.How can I as the Regional Center Deaf Access Specialist support you as a provider?