Deaf Survey

Welcome! Please begin answering the questions below to the best of your knowledge.

ABOUT YOU AND YOUR BACKGROUND

1. The highest education level my mother achieved is:
2. The highest education level my father achieved is:
3. My mother earns:
4. My father earns:
5. English is hard for me:
6. Using sign language is hard for me:
7. Lipreading/Speechreading is hard for me:
8. People understand me most of the time when I speak:
9. I live:
10. I am from which country:
11. I heard about this survey from:
12. If you heard about this survey from a website, what website was it?
13. I was born in the year:
14. I am:	American Indian or Alaskan Native Asian Black Native Hawaiian or Pacific Islander Hispanic or Latino Not Hispanic or Latino White Other
15. I identify as:
16. From 0 (a little important to me) to 5 (very important to me) I feel my identity is:
17. My mother identifies as:
18. My mother is:
19. My father identifies as:
20. My father is:
21. My deafness is ____ for my family to accept:
22. Deafness has negatively affected my ability to get or keep a job:
23. Deafness has negatively affected my ability to benefit from my education:
24. The language I learned first is:
25. If neither English nor ASL is my first language, then my first language is:
26. The language I use most often now is:
27. If neither English nor ASL is the language I use most often now, then the language is:
28. My education experience as a child is best described as:
29. If I had hearing aids before, I liked them:
30. I am:
31. I feel comfortable in the hearing community:
32. I feel comfortable in the Deaf world:
33. How many people live in my household?
34. How many children/dependents do I have?
35. I live in:
36. On a scale of zero (least happy) to ten (most happy), right now I feel:
37. On a scale of zero (least happy) to ten (most happy), for most of my life I have felt:
38. I am:

ABOUT YOUR EDUCATION AND WORK

39. My highest educational level is:
40. I earn:
41. My primary job best fits which category:
42. My high school GPA is:
43. My college GPA is:
44. After graduating from high school or college, it took me ____ to find a job:
45. I feel that cochlear implants are:
46. The year I first entered high school (0000 if I didn't go to high school):
47. The year I first entered college (0000 if I didn't go to college):
48. The year I graduated from high school (0000 if didn't graduate):
49. The year I graduated college (0000 if didn't graduate):
50. My favorite subject in high school was:
51. My major in college is/was:
52. If I work, there are ____ deaf/hard of hearing people at my workplace:
53. If I work, I work ____ hours per week (0 if don't work):
54. My work income is:
55. I am paid fairly and not less because I'm d/Deaf:
56. I receive government disability benefits or support from the government:	Yes, I collect SSDI Yes, I collect SSI Yes, I have DOR (Formerly VR) Yes, I get SSI and SSDI Yes, I collect SDI (State Disability) Yes, I get another benefit No, I receive no support
57. I am:
58. For college, I attended:	Did not go to college A first-tier university (first-tier university list) CSUN Gallaudet Rochester Institutute of Technology (without NTID) Rochester Institute of Technology (with NTID) Other
59. I have received ___ job promotions in the past five years:

ABOUT YOUR DEAFNESS

60. I became deaf at age:
61. I have hearing aids and use them ____ hours a week:
62. If sickness or infection caused my deafness, it was ____.
63. My deafness is caused by:
64. I have another disability besides deafness:
65. If I have another disability, my other disability is ____.

GENERAL QUESTIONS

66. How much would I be willing to pay to keep implants for other people (negative number if I want to pay to get rid of implants):
67. With my hearing aid, I can:	Did not use hearing aid Be aware of sounds around me Hear my voice/voice of others Understand a few sounds and words Understand patterns of speech (short vs long sounds, loud vs quiet sounds, questions vs statements) Understand a few words when aware of the topic Understand many words in most situations Understand sentences with almost no problem (and no lipreading)
68. Without any technology, I can hear:	Nothing Be aware of sounds around me Hear my voice/voice of others Understand a few sounds and words Understand patterns of speech (short vs long sounds, loud vs quiet sounds, questions vs statements) Understand a few words when aware of the topic Understand many words in most situations Understand sentences with almost no problem (and no lipreading)
69. With the telephone, I can:	Recognize a busy signal on the telephone Recognize a voice on the telephone Able to use the telephone for basic conversation Able to use the telephone normally
70. Why wouldn't I get the implant?
71. My deafness has improved the quality of my life:
72. On a scale of 0 (not valuable) to 10 (very valuable) the Cochlear Implant is worth a lot of money to me:
73. I interact with hearing people ____:
74. Hearing people don't understand that I am deaf:
75. How deafness implant helps me with my social, family, and working lives:
76. I like being deaf most in these situations:
77. I don't like being deaf in these situations:
78. In general, my life has changed in this way, with my deafness

ABOUT YOU AND DEAFNESS

79. The most I can and would pay every month to keep Deaf Culture is (Dollars):
80. The heroes in Deaf Culture are important to me (Dummy Hoy, Laurent Clerc, Anthony Natale, etc.)
81. I interact with d/Deaf people often:
82. I feel it's important for d/Deaf people to keep open communication with each other always:
83. If a d/Deaf person is not open and honest with me, I feel more hurt than if a hearing person is not open and honest with me:
84. I prefer it when other people use ASL, even when I'm not around:
85. Without ASL, I feel the world is worse off:
86. I feel comfortable telling people something that might embarass them:
87. I feel uncomfortable if someone tells me something that I feel embarassed about:
88. I have a lot of Deaf Culture pride:
89. I think it's important for others to have more Deaf Culture pride:
90. Deaf Culture has added value to my life:
91. Deaf Culture helps create more job opportunities for me:
92. Deaf Culture and CIs can exist together:
93. On a scale of 0 (not valuable) to 10 (very valuable) Deaf Culture is worth a lot of money to me:

Thank you for filling out the survey! Click the button to submit your answers.

Questions?

Email: survey@deafsurvey.com

The Economics of Deafness and Cochlear Implants

Deaf Survey

ABOUT YOU AND YOUR BACKGROUND

ABOUT YOUR EDUCATION AND WORK

ABOUT YOUR DEAFNESS

GENERAL QUESTIONS

ABOUT YOU AND DEAFNESS

Questions?