Pearson Accessible Math User Study: Recruitment Questionnaire for Students Under the Age of 18

The study will be held at the National Federation of the Blind 2016 National Convention

Please complete the following items about your child. This will help us determine if she/he is a good match for this study.

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* 1. Please indicate the current grade level of your child for the 2016-2017 school year:

4th

5th

6th

7th

8th

9th

10th

11th

12th

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* 2. Has your child completed Algebra 1 in a prior year, or will she/he be enrolled in this course during the 2016-2017 school year?

Yes

Not applicable because my child is too young

Not applicable because my child is taking different kinds of math classes in high school (please list examples below)

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* 3. Does your child have an identified or documented visual impairment? (This could include a designation in a Section 504 Plan, an IEP under IDEA, or other primary diagnosis as having a visual impairment, including such conditions as blindness or low vision).

Yes

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* 4. How would you best describe your child's visual impairment?

Blind

Low Vision

Combination of blind and low vision that is dependent on the environment, context, or circumstances. Please explain below.

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* 5. Has your child been identified as an English Language Learner (ELL or ESL)?

Yes

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* 6. Does your child have any of the following conditions: severe hearing impairment, cognitive or intellectual disability, or a severe motor impairment?

Yes

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* 7. What is your child's preferred method for reading materials used in language arts or social studies classes? This may be different than your child's preferred reading method for math or science classes.

Having someone read materials out loud

Listening to recordings of materials on tape, CD, MP3, etc

Having a computer read them out loud (using JAWS, NVDA, VoiceOver another screen reader)

Reading materials in braille, either on paper or on a braille display or note taker

Reading materials using zoom or screen magnification on a computer

Reading materials in large print on paper

Using a CCTV for materials printed on paper

Other (please specify)

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* 8. What is your child's preferred method for reading materials used in math classes? This may be different than your child's preferred reading method for language arts and social studies.

Having someone read materials out loud

Listening to recordings of materials on tape, CD, MP3, etc

Having a computer read them out loud (using JAWS, NVDA, VoiceOver or another screen reader)

Reading materials in braille, either on paper or on a braille display or note taker

Reading materials using zoom or screen magnification on a computer

Reading materials in large print on paper

Using a CCTV for materials printed on paper

Other (please specify)

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* 9. If your child is a braille reader, does your child use Nemeth braille for math and/or science coursework?

Yes

Unsure

Not applicable - my child is not a braille reader

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* 10. Does your child have any experience using a refreshable braille display together with a screen reader (for example, JAWS, NVDA, Window-Eyes or VoiceOver) while reading or writing materials on a computer?

Yes

Unsure

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* 11. If your child has low vision, which of the following methods does he/she use when reading materials such as web pages on a computer?

Doesn't do anything different - is able to read regular sized font on the computer

Uses browser or other computer settings to zoom the text larger and/or change contrast

Uses a special screen enlargement software like ZoomText or MAGic

Not applicable - my child does not have sufficient vision to effectively view the screen even with high magnification

Other (please specify)

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* 12. How confident is your child with math activities (math games, math assignments, math tests, etc)?

Not confident

Confident

Very confident

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* 13. Is your child more confident with paper-based math activities or digital-based math activities (math games, math assignments, math tests, etc)?

Paper-based math activities

Digital-based math activities

Confident with both paper and digital

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* 14. Rate your child's technology skill level with using a computer or a mobile device with online content:

Beginner

Intermediate

Advanced

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* 15. Is your child comfortable sharing his or her opinion while being recorded?

Yes