Songs for Sound: Hope Students/Young Adult Gathering: (HS, College, Young Adult) Pre-Event Questionnaire

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1. Please type your first and last name. (either parent or student/young adult filling this out)

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2. If you're the parent and filling this out for your student/young adult, please type their first name (18 & under). First and last name for (18 & up). Otherwise, skip.

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3. Please provide your home address if you would also like to receive Songs for Sound mailings, udpates and newsletters.

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4. What day of the week is best for you and your child to attend a Hope Young People Gatherings?

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

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5. Please provide more grade/age information.

Ninth

Tenth

Eleventh

Twelfth

College

I just graduated or do not attend college. I am 18-22.

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6. What types of activities would your child like to do? (Rank most preferred to least preferred).

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7. Each Hope Gathering will have an educational presentation prior to the social outing. (Rank most preferred to least preferred).

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8. What type of device/company you have? (ex: cochlear implant/company name or hearing aid/company name)

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9. How would you like to receive additional information about the event?

Phone call

Text

Include phone number or email address

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10. If you will not be attending please explain why.

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11. We are working with hearing companies to provide additional benefits to our Hope Families including discounts and more educational materials. 91% of our families want to receive this information. Please advise if you would like to be included on these announcements.

Songs for Sound: Hope Students/Young Adult Gathering: (HS, College, Young Adult) Pre-Event Questionnaire

Question Title

* 1. Please type your first and last name. (either parent or student/young adult filling this out)

Question Title

* 2. If you're the parent and filling this out for your student/young adult, please type their first name (18 & under). First and last name for (18 & up). Otherwise, skip.

Question Title

* 3. Please provide your home address if you would also like to receive Songs for Sound mailings, udpates and newsletters.

Question Title

* 4. What day of the week is best for you and your child to attend a Hope Young People Gatherings?

Question Title

* 5. Please provide more grade/age information.

Question Title

* 6. What types of activities would your child like to do? (Rank most preferred to least preferred).

Question Title

* 7. Each Hope Gathering will have an educational presentation prior to the social outing. (Rank most preferred to least preferred).

Question Title

* 8. What type of device/company you have? (ex: cochlear implant/company name or hearing aid/company name)

Question Title

* 9. How would you like to receive additional information about the event?

Question Title

* 10. If you will not be attending please explain why.

Question Title

* 11. We are working with hearing companies to provide additional benefits to our Hope Families including discounts and more educational materials. 91% of our families want to receive this information. Please advise if you would like to be included on these announcements.

1. Please type your first and last name. (either parent or student/young adult filling this out)

2. If you're the parent and filling this out for your student/young adult, please type their first name (18 & under). First and last name for (18 & up). Otherwise, skip.

3. Please provide your home address if you would also like to receive Songs for Sound mailings, udpates and newsletters.

4. What day of the week is best for you and your child to attend a Hope Young People Gatherings?

5. Please provide more grade/age information.

6. What types of activities would your child like to do? (Rank most preferred to least preferred).

7. Each Hope Gathering will have an educational presentation prior to the social outing. (Rank most preferred to least preferred).

8. What type of device/company you have? (ex: cochlear implant/company name or hearing aid/company name)

9. How would you like to receive additional information about the event?

10. If you will not be attending please explain why.

11. We are working with hearing companies to provide additional benefits to our Hope Families including discounts and more educational materials. 91% of our families want to receive this information. Please advise if you would like to be included on these announcements.