Your church (temple) wants to ensure that everyone can hear the services. Please fill out the survey below to help us understand if there's a problem and return to the church office or put in the collection basket.
Hearing Survey
We are currently evaluating ways to improve the ability of all people to hear during worship and meetings in our congregation. Please take a minute to fill out this brief survey to help us make a decision. Thank you for your assistance.
1. How often do you have problems hearing in our building?
_____frequently_____seldom
2. If you ever have problems, can you be more specific about where and when you cannot hear? ________
________________________________________
3. Do you ever avoid educational programs, religious activities, or other involvement because you may not be able to hear? _____frequently _____seldom
4. Do you wear a hearing aid or aids? _____yes _____no
5. If "yes," does your hearing aid have a T-switch?
_____yes _____no
6. Have you ever used an assistive listening device other than a hearing aid to help you hear? _____yes _____no
7. Would you use a hand held device to help you hear in our building if one was made available to you? _____yes _____no
8. Would you use headphones to help you hear in service if a set was made available to you? _____yes _____no
9. Please share any other suggestions or ideas you have that will make our decision easier to make:
__________________________________________
Optional questions for places already equipped with assistive listening systems:
10. Are you aware of the assistive listening system used in the sanctuary?
_____yes _____no
11. Is it useful? _____yes _____no
12. If "no," why not? _______________________________________
___________________________________________
Thank you for filling out this survey. Please mail the survey to