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.  

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* 1. What is your name?

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* 2. What is the name of your organization?

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* 3. What is your email?

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* 4. What geographic area(s) do you serve?

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* 5. What types of Regional Center funded services does your organization provide? (Check all the apply)

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* 6. Has your organization ever utilized interpreter services ?

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* 7. Are you aware of any assistive technology for communicating with clients who are Deaf or Hard of Hearing?

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* 8. Do you currently or have you in the past provided services to clients who are Deaf or Hard of Hearing?

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* 9. If you answered yes to question 8, describe your experience.

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* 10. What barriers have you faced providing services to clients who are Deaf or Hard of Hearing?

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* 11. Do you or your staff know American Sign Language (ASL)?

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* 12. If you answered yes to question 10, what is you or your staff's fluency level?

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* 13. If you answered no to question 10, are you willing to hire an ASL proficient staff member?

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* 14. If you answered no or maybe, please tell us what you may need to do so.  (Select all that apply)

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* 15. How can I as the Regional Center Deaf Access Specialist support you as a provider?

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