Songs for Sound Hope Students Gathering: Elementary (K-5) Pre-Event Questionnaire

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* 1. Please type your first and last name.

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* 2. Please type your child's first name.

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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 Student Gatherings?

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* 5. What grade is your child currently in?

Kindergarten

First

Second

Third

Fourth

Fifth

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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 does your child 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

Email

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.