Inclusion Criteria:  New patients undergoing CI evaluation:  English speaking patients (parents can speak English and/or Spanish) Ages 0-12 years who are cochlear implant candidates and undergoing the evaluation process  Established CI recipients:  English speaking patients (parents can speak English and/or Spanish) Ages 1-12 with at least 6 months of CI experience with a company that has remote programming capacity  Exclusion Criteria:  Patients with families who speak languages other than English or Spanish Patients who do not live in Florida Patients who have any condition that, in the opinion of the investigator, would compromise the well-being of the patient or the study or prevent the patient from meeting or performing study requirements