Parent Drop In Zoom Call Attendance

DELTA Parent Drop In Zoom Call Form

Thank you for your interest in attending a DELTA Parent Drop in Zoom Call.

We would like to find out a bit about you before the call to ensure we have the relevant advice and information for you within the call. Your information will be kept confidential and will not be shared with third-parties.

Once we have the information, a zoom link will be emailed to you to attend the call on the day of the event.

Question Title

* 1. Which Online Parent Drop In Event would you like to sign up to?

Thurs 17th March 2022 - Ask the Experienced Panel' of cochlear implant and hearing aid deaf users

Thurs 19th May 2022 - 'What I wish I had known then' - passing on by Bob & Jill White - parent of a deaf child (now a doctor!)

Thurs 16th June 2022 - Cochlear Implant Workshop

Question Title

* 2. Your Name

Question Title

* 3. Your email address

Question Title

* 4. Your location

Question Title

* 5. Are you a ...

Parent

Grandparent

Other family member

Carer

Other

Question Title

* 6. Please indicate your deaf child's current education

Baby

Pre-school

Primary Education

Secondary Education

Further Education

Adult

Question Title

* 7. Please indicate your child's level of deafness

Mild hearing loss

Moderate hearing loss

Severe hearing loss

Profound Deafness

Other

Question Title

* 8. Which hearing devices is currently being worn?

Hearing aid

Cochlear Implant

Bone-Anchored Hearing Aid

Other

None

Question Title

* 9. Do you consent to receive our Chattering e-Newsletter of our news from DELTA and future parent events?

Yes

Question Title

* 10. Do you consent to receive further information about DELTA and the Natural Aural Approach via email?

Yes