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* 1. Contact Information 

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* 2. How many years of experience do you have working with students/clients who are visually impaired?

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* 3. Please select all that apply to the population you serve.

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* 4. As a TVI (or other professional in the education of individuals with visual impairments), how do respond to a student who expresses interest in learning music?

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* 5. What types of products have you used/are you using to aid in teaching music to students with visual impairments?

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* 6. If you have used specific resources, please list those here.

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* 7. A lack of materials has prevented braille readers from learning music.

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* 8. Please rate your familiarity with the music braille code.

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* 9. What methods have you found to be successful in teaching music braille to your students/clients?

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* 10. In your opinion, what is lacking when it comes to music instruction for braille readers?

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* 11. What types of products would you find useful for teaching music to braille readers?

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* 12. Should products for teaching the music braille code be targeted at different levels (i.e., Beginning/Intermediate/Advanced)?

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* 13. Do you currently have any students who are interested in music composition?

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* 14. Do you feel that a lack of access to music braille instruction has limited instrument choice for braille readers with whom you have worked?

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* 15. What types of instruments have your students shown an interest in learning?

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* 16. Learning to play music "by ear" is a method used by many musicians with visual impairments. Do you feel that a lack of access to music braille instruction limited the abilities of these students?

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* 17. What types of activities are available to your students with visual impairments during a general education music class?

Residential school professionals can skip this question.

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* 18. Would you be willing to participate in field testing of products related to music and the music braille code?

Thank you for your participation in this survey!

Your responses will aid in product development to promote the independence of individuals who are blind and visually impaired.

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