Pandemic Customer Service Survey
Hello! I am Laylah Votion, 15 year old creator of Deaf Ally, a nonprofit focused on spreading awareness and smiles surrounding the Deaf community as well as the communities they interact with. As part of our mission we donate clear face masks (see picture for reference), which not only accommodate lip and facial reading for the Deaf/HH but for hearing people as well! We know this pandemic has come with it’s fair share of obstacles, and we would like to hear about some of the ones you may/may not be facing in any given store. We appreciate your input immensely!
Sign in to Google to save your progress. Learn more
Smile Masks We Donate: image acquired from Rafi Nova, our mask distributor
Demographic Questions: Optional
Age
Clear selection
Hearing Capabilities
Clear selection
Customer-Cashier Interactions
Ability to Understand Your Cashier Using Common Face Masks *
Never
Always
Do you feel being able to read their lips/ hear a little better using clear masks would help this issue? *
Would seeing a cashier’s smile through a clear face mask make you feel more welcome, accommodated, and respected? *
Other Workers Wearing Clear Masks
Do you believe the use of clear masks by other workers in these establishments besides cashiers (e.g. greeters, store managers, line controllers, etc.) would also feel more inviting as well as aid in your ability to understand them? *
Personal Anecdotes/ Other Ideas, Concerns, Beliefs You Would Like to Share
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms