Hearing Access in Healthcare Settings within Palm Beach County 
The goal of this survey is to gather data on experiences that hard-of-hearing and deaf people (of ALL ages) have while needing to communicate with staff in medical offices and hospitals within Palm Beach County.  Residents AND visitors are encouraged to participate. All input is welcome and valuable. THANK YOU!

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Are you a resident of Palm Beach County?  *
How would you describe your hearing health?  (Please check all that apply.) *
Required
Do you use any of the following aids to improve your hearing and ability to communicate?  (Please check all that apply.) *
Required
What is your age?  *
How satisfied are you with the overall quality of MEDICAL CARE in Palm Beach County - from wellness visits, prevention and diagnosis to treatment and recovery from illness or injury?  *
Over the past 12 months, how easy or difficult has it been to hear and communicate with staff in healthcare settings, while in Palm Beach County?  
(1= Extremely difficult. 5 = Easy - no problems at all.)
 *
Extremely difficult and risky.
Easy. No Problems at all.
Over the past year, which of your conversations were frustrating or difficult to follow, due to your hearing loss?  Check all that apply.
 *
Required
How do you let staff know that you are deaf or hard-of-hearing and will need accommodations to help understand conversations about your medical care?  (Check all that apply.) *
Required
What type of medical setting presents the most challenges for you due to your level of hearing or deafness?  (Check all that apply.) *
Required
If you have had difficulty communicating with medical staff in Palm Beach County during the past 12 months, please explain what occurred and how it impacted your ability to understand what you needed to hear.  (Optional)
With regard to any situation(s) described in the previous question, please explain what outcome there was. (Optional)
Based upon your experience(s) in healthcare settings in Palm Beach County, please explain what advice you would give to medical providers to help them improve communications with patients who are deaf or have hearing loss: 
Other than personal hearing aids or cochlear implants, what strategies or technology help boost audio clarity and comprehension for you -- outside of your home, in public places such as theaters, libraries, museums, houses of worship?  (Please check all that apply.)
If you are interested in sharing any additional information about your experience(s) as a patient, here in Palm Beach County, please use this space: 
Are you currently a member of the Palm Beach County Chapter of HLAA?  If interested you may download the membership application form here to join or renew your membership.
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If you are familiar with the Hearing Loss Association of America (HLAA) how did you learn about the organization?  (check all that apply)
OPTIONAL: Comments, questions or requests? Include your email address if you would like to know more about HLAA - national and/or local chapters!  
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