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A survey about aspect design of children hearing aids
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1.
Question 1.
How old is your child?
1-3
4-6
7-9
10-13
14-16
16+
2.
Question 2.
What is the gender of your child?
Girl
Boy
Other
3.
Question 3.
Your child is studying in?
Kindergarten
Primary school
Middle school
High school
Other (please specify):
This is required
Input box for - Other (please specify):
4.
Question 4.
How many years has your child worn hearing aids?
1-2
3-4
5-6
7-8
9+
5.
Question 5.
What kind of hearing aids is your child wearing currently?
Behind-The-Ear
In-The-Canal
In-The-Ear
Invisible (IIC)
cochlear implant
Other (please specify):
This is required
Input box for - Other (please specify):
6.
Question 6.
What’s the colour of your child’s hearing aid?
Flesh colour
White
Grey
Black
Other (please specify):
This is required
Input box for - Other (please specify):
7.
Question 7.
Did you select hearing aid(s) based on the appearance?
No
Yes
Tried, but didn't find a satisfied one.
8.
Question 8.
Did your child resist or reject wearing hearing aid(s) for the first time?
Yes, my child didn't want to wear hearing aids.
No, my child has accepted hearing aids easily.
9.
Question 9.
What is your child’s favorite colour?
Red
Orange
Yellow
Green
Blue
Purple
White
Grey
Black
Other (please specify):
This is required
Input box for - Other (please specify):
*
10.
Question 10.
Who’s your child’s favorite cartoon figure?
Required
- Required.
11.
Question 11.
What’s your child’s favorite activity?
12.
Question 12.
Does your child like making things with their hands? If so, what kind of handwork does your child like?
13.
Question 13.
Is your child conscious about their appearance when choosing what to wear?
Yes
No
No idea
14.
Question 14.
Does your child enjoy dressing up or show interests in wearing jewellery, like necklace, earring, brooch?
Yes
No
No idea