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2015
March
D
DHH needs at Lakeland School
DHH needs at Lakeland School
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What is your name?
Which grade level do you currently teach?
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Elementary
Middle
High School
LSYou
Other
Do you have students in your classroom whose parents/guardians have informed you of a medically diagnosed hearing loss?
Yes
No
If you answered "yes" to the previous question please list the student(s) name(s):
Do you have students in your classroom whose parents have given you an audiogram or an audiological report?
If you answered "yes" to the previous question please list the student(s) name(s):
Do you have students in your classroom that wear or are supposed to wear hearing aids?
Yes
No
If you answered "yes" to the previous question please list the student(s) name(s):
Do you have students in your classroom that have had ear infections during the past school year?
Yes
No
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