Hi! My name is Martin and I am a deaf student attending a mainstream class. I use ASL as my primary language. I have been hearing (or seeing! ha) many, many different responses about the usage and the morality of cochlear implant. I am neutral on it, but I have decided to make this sticky topic as the maiun topic for my project in my research class. This survey is informal, so don't get too worried if you can't or do not want to answer some of those questions. If you want to keep your answers confidental, you may e-mail me the responses via hockeyfox@ameritech.net. THANKS!
*Of course, this survey only appiles to those who have or had a cochlear implant. But if you know anyone with cochlear implants, PLEASE e-mail or show the survey to them and let them e-mail me! Do one for the deaf community! Thanks!
1. a) Were you born deaf?
Yes No
b) If not, how old were when you became deaf?
0-2 yr. 3-13 yr. 14-21 yr. 22+ yr.
2. What was the cause of your deafness, if it is known?
Born that way Sickness (fever, etc.) Brain/facial damage
Other (specify)
3. Why did you get the cochlear implant?
Wanted the ability to hear/talk Encouragement from friends/family/peers
Other (Specify)
4. Who made the decision of getting the implant?
Doctor Parents Self Other Relatives Other
5. Have the cochlear implant caused any physical problems for you? Rank from 1 to 5, with 1 being the lowest.
1 2 3 4 5 (Specify if you wish)
6. Mental problems?
1 2 3 4 5 (Specify if you wish)
7. How often do you use it?
Always Most of the time Sometimes Not Often Rarely
8. a) Do you take it off frequently?
Yes No
b) Do you usually take it off when you are alone? If yes, why?
Yes No
9. In your opinion, did your hearing improve since getting the implant?
Yes No
10.How did you prefer to communicate before getting the implant?
Speech ASL SE Other
11. After?
Speech ASL SE Other
12. How do you feel about your implant? 1 being negatively, 5 being positively
1 2 3 4 5
13. Has it helped the quality of your schooling or work?
Yes No
If yes, please explain.
14. Was the surgery painful?
Yes No
15. What reactions did you get from the public concerning about your implant?
Looks/glances Comments Other (Specify)
16. Do or did you ever regret getting the implant? Why or why not?
Yes No
Why or why not?
17. Do you feel that the person making the decision about the implant made the right decision?
Yes No
18. Was the implant/surgery worth it?
Yes No
19. Did you and your family receive education from the deaf community and the risks of Cochlear Implants prior to taking the procedure?
Yes No
If yes, what materials?
*Of course, this survey only appiles to those who have or had a cochlear implant. But if you know anyone with cochlear implants, PLEASE e-mail or show the survey to them and let them e-mail me! Do one for the deaf community! Thanks!
1. a) Were you born deaf?
Yes No
b) If not, how old were when you became deaf?
0-2 yr. 3-13 yr. 14-21 yr. 22+ yr.
2. What was the cause of your deafness, if it is known?
Born that way Sickness (fever, etc.) Brain/facial damage
Other (specify)
3. Why did you get the cochlear implant?
Wanted the ability to hear/talk Encouragement from friends/family/peers
Other (Specify)
4. Who made the decision of getting the implant?
Doctor Parents Self Other Relatives Other
5. Have the cochlear implant caused any physical problems for you? Rank from 1 to 5, with 1 being the lowest.
1 2 3 4 5 (Specify if you wish)
6. Mental problems?
1 2 3 4 5 (Specify if you wish)
7. How often do you use it?
Always Most of the time Sometimes Not Often Rarely
8. a) Do you take it off frequently?
Yes No
b) Do you usually take it off when you are alone? If yes, why?
Yes No
9. In your opinion, did your hearing improve since getting the implant?
Yes No
10.How did you prefer to communicate before getting the implant?
Speech ASL SE Other
11. After?
Speech ASL SE Other
12. How do you feel about your implant? 1 being negatively, 5 being positively
1 2 3 4 5
13. Has it helped the quality of your schooling or work?
Yes No
If yes, please explain.
14. Was the surgery painful?
Yes No
15. What reactions did you get from the public concerning about your implant?
Looks/glances Comments Other (Specify)
16. Do or did you ever regret getting the implant? Why or why not?
Yes No
Why or why not?
17. Do you feel that the person making the decision about the implant made the right decision?
Yes No
18. Was the implant/surgery worth it?
Yes No
19. Did you and your family receive education from the deaf community and the risks of Cochlear Implants prior to taking the procedure?
Yes No
If yes, what materials?
I thought you were just working your way towards the Postwhore Club! 