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Hearing & Vision School Satisfaction Survey

During the 2025-2026 school year the Allegan County Health Department's Hearing & Vision program technician(s) visited your school to conduct state required hearing & vision screenings. Please complete this survey about your experience:
1. The best way to describe the age of students your building supports is:
2. The best way to describe your role at the school is:
3. Communication with the ACHD Hearing & Vision technician(s) regarding the scheduling of the initial screenings was:
4. The technician(s) were friendly and respectful:
5. The technician(s) were helpful and professional:
6. With the number of students in your building in mind, how did you feel about the number of days/weeks that the ACHD Hearing & Vision technician(s) were scheduled in your building to complete these screenings:
8. Our school enjoys our partnership with the ACHD Hearing & Vision technician(s) and finds these services beneficial to our students:
9. Our student's seem to enjoy their yearly screenings:
10. The technician(s) provided our school with all of the screening results at the end of their time in our building:
11. Our staff understands the screening results provided by the technician(s):
12. Occasionally, and for many reasons, parent's would like to opt-out of these screenings for their child. Does your school offer the option of opting out to the parent(s)/guardian(s) when they are made aware that screening is scheduled?
13. If a parent(s)/guardian(s) choose to opt their child out of screening, do you provide that information to the hearing & vision technician?
14. Our school likes the Hearing & Vision screening checklist of all the information needed for screening that is provided by ACHD after scheduling:
15. Have you viewed the Hearing & Vision MCIR SIRS PowerPoint on our website or during our annual school update?
16. Would your school be interested in partnering with us and setting up Kindergarten entrance screening in conjunction with your Kindergarten round up?
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