1

Appendix C. 

Provider Questionnaire and 

TA Recipient Supplement
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INTRO SCREEN

If identified from the district contact: 

You are receiving this survey because you have been identified by your district special education 

administrator as someone who works, on at least a weekly basis, with children or youth with 

deafblindness (also known as Dual Sensory Impairment). On the next screen, we will ask you to confirm 

that you do work on at least a weekly basis with children or youth with deafblindness during the 

current school year. First, here is some brief information about this study.

If identified through the State Deaf-Blind Project: 

You are receiving this survey because you have been identified by your state project, [Project name], as 

someone who has received child-specific support from that project related to serving children and 

youth with deafblindness (also known as Dual Sensory Impairment). Here is some brief information 

about this study.

Please note: If you have already received and completed this survey, you do not need to complete it 

again. Click here.

What is this survey about?

This survey is about the experiences of people who provide services in school and related settings to

children and youth with deafblindness. The questions will ask about your background, your experiences 

working with children and youth with deafblindness generally, and about your experiences with the 

[Project name]. You will not be asked to share any personally identifiable or confidential information 

about the children and youth with whom you work. 

Who is asking these questions?

The survey is funded and directed by the U.S. Department of Education. The organization contracted to 

conduct the survey is called Westat. Westat is an organization that designs and conducts social science 

research studies for the U.S. government and other agencies. Westat has no connection to any of the 

State Deaf-Blind Projects; it is an independent research agency. 

Is this survey voluntary?

Your participation in this survey is completely voluntary. You may choose to decline to participate in the 

survey and there will be no negative effect on you or your school.

What is the benefit or value of completing this survey?

To show our appreciation for your time and effort, you will receive a $20 gift code to Amazon immediately 

after completing the survey. This gift code will be sent to the email address you provide at the end of the 

survey. Your responses will help the Department of Education understand the areas where support or 

guidance may be needed, and the role of the State Deaf-Blind Projects in helping providers serve children 

and youth with deafblindness. There is no direct benefit to your school, or any child or youth you work 

with, but the findings will inform decisions that have to do with children and the settings where they are 

served. 
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What will happen with the information I provide? Will it have a negative effect on my school or on me?

Survey responses will be used only for research purposes. The study team will analyze respondents’ 

responses as a whole and will not focus on specific individuals or schools. We will ask you for your name 

and contact information, but can assure you all information collected in this survey is strictly confidential. 

That means that your name and school name will not be linked in any way with your responses. 

How long will it take to complete?

Depending on your responses, the survey contains between 20 and 32 questions, and we estimate that it 

will take you between 15 and 20 minutes to complete. You may start and stop the survey at any time.

Notice of Confidentiality

Information collected from the surveys comes under the confidentiality and data protection requirements of the Institute of 

Education Sciences (Public Law 107-279, Section 183). Information that could identify an individual or institution will be separated 

from the survey responses submitted, kept in secured locations, and be destroyed as soon as they are no longer required. Survey 

responses will be used only for research purposes. The reports prepared for the study will summarize survey findings across 

service providers, by characteristics of service providers, and by state. No individual respondent or school will be identified at any 

stage of reporting. The information collected for this study will be used only for statistical purposes and may not be disclosed or 

used, in identifiable form, for any other purpose except as required by law.

Paperwork Reduction Act of 1995

According to the Paperwork Reduction Act of 1995, no persons are required to respond to this voluntary collection of information 

unless such collection displays a valid OMB control number. The valid OMB control number for this information collection is 

1850-New. The time required to complete this information collection is estimated to average 15-20 minutes per response, 

including the time to review instructions, search existing data resources, gather the data needed, and complete and review the 

information collection. If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving 

this form, please write to: U.S. Department of Education, Washington, D.C. 20202-4537. If you have comments or concerns 

regarding the status of your individual submission of this form, write directly to: Meredith Bachman, U.S. Department of

Education, Institute of Education Sciences, 555 New Jersey Avenue, NW, Suite 500J, Washington, D.C. 20208, or email 

Meredith.Bachman@ed.gov.

If you have any questions, contact:

Tamara Daley, 1-888-xxx-xxxx

E-mail: TADEval@westat.com
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SCREENER

PROVIDER SCREENER: Only Providers (not Customers) will get the following screener:

For the purpose of verification, do you currently provide services on at least a weekly basis to children 

or youth with deafblindness or Dual Sensory Impairment? 

 By deafblindness, we mean children or youth who have a combination of vision and hearing loss, 

also called a dual-sensory impairment.

 Few children who are considered deafblind have total vision and hearing losses. Children may 

have losses in varying degrees of severity. For example, one child may have low vision and mild to 

moderate hearing loss, and another child may be both legally blind and have severe or profound 

deafness. For the purpose of this survey, both children are considered deafblind. 

 The children do not need to be eligible for services under the IDEA category of deafblindness to 

answer “yes” to this question. 

Select the best answer:

O Yes, I work on at least a weekly basis with children or youth with deafblindness.  Will continue 

to survey

O No, I do not work on a weekly basis with children or youth with deafblindness.  Will not receive 

the survey and this generates a “not eligible” status in the management system

O I am unsure if I work with a child or youth with deafblindness. Generates an “uncertain 

eligibility” in the management system and will receive follow up

CUSTOMER SCREENER: Only Customers (not Providers) will be asked the following “current status” 

question and then, regardless of the response, proceed to the survey

Before proceeding to the survey, please indicate: During the current school year (2014-15), are you 

working (or expecting to work) with children or youth with deafblindness?

O Yes

O No
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Frequently Asked Questions (FAQs) 

Navigating the Survey

Navigate through the survey by answering each question and clicking the 'Save and Continue' button. 

When you click the 'Save and Continue' button, it will save your response and forward you to the next 

question. You may return to a prior question at any time by clicking on the appropriate question on the 

Section Guide to the left of the screen. When you reach the final submission page, please review your 

responses on the completed survey before the data are submitted. You cannot change your responses 

after the completed survey has been submitted. After submitting the data, you will be directed to the 

final screen so that you can print a copy of your completed survey for your records.

Navigation Key:

PLEASE NOTE: 

 The 'back' arrow on your browser has been disabled. Use the 'Save & Continue' button and the 

question guide to move through the survey. 

 Your session will time out after 30 minutes of inactivity and you will be returned to the login screen.

Do I have to complete the survey all at one time? No. You can sign in and out of the website as many 

times as needed to complete the survey. However, if you need to stop before finishing the survey, please 

be sure to click on the 'Save & Continue' button before signing out so that your responses(s) on that page 

will be saved. Once you have finished and submitted your survey, you will no longer have access to it. 

Can I skip a question? Yes, you may skip any question in the survey that you cannot or do not wish to 

answer. To skip a question, leave the question blank and then click the 'Save & Continue' button to 

proceed. 

Can I go back to a question that I have already answered or skipped? Yes. You may return to any 

answered or skipped question by clicking on the appropriate question on the question guide found on the 

left side of the screen. If you wish to change your response, be sure to click the 'Save & Continue' button 

after you make any changes. 
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Can I print individual questions? Yes. You may print an individual page at any time by using your 

computer’s usual method of printing (e.g. using the Command-P or Ctrl-P key combination). 

Do I have to answer all the questions? You will automatically be skipped past some questions that do not 

apply to your situation, depending upon your answer to an earlier question. 

Can I print a copy of the questionnaire when I am finished? Yes. Once you have completed the survey, 

you will have the option to print a copy of your responses before submitting it to Westat. This will allow 

you to review all your answers and make any necessary changes. You will also be able to print a copy for 

your records after submitting it electronically to Westat. 

Can I obtain a paper version of the questionnaire? Yes. If you would like to see a paper version for 

reference purposes, you can download a PDF version by clicking the link at the top of the page that says 

'Download Blank PDF of Survey.' 

Is the system secure? System security is ensured through the following steps: 1) Login and password 

validation for entry into the system, 2) The use of Secure Socket Layers (SSL) for encryption of data 

packets, and 3) Data storage in a Data Zone that is not accessible through the Westat Firewall system. 

Who should I contact if I have a question? The Westat project team can be reached at

TADEval@westat.com or by phone at 1-888-xxx-xxxx. When sending emails, in addition to the question, 

please be sure to include your name and a phone number where you can be reached.
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FOLLOW UP PAGE FOR “NO” AND “UNSURE” PROVIDERS

You are seeing this screen because you indicated that you either do not work on a weekly basis with 

children or youth with deafblindness or you are unsure whether you work with a child or youth with 

deafblindness.

Please enter contact information below so we may clarify our records. 

First Name:

Last Name:

Email Address:

Name of school or primary work setting:

Phone Number (xxx-xxx-xxxx):

Best day and time to reach you by 

phone, if needed?

Please provide a brief explanation for 

your “unsure” response

CONTACT PAGE FOR INDIVIDUALS WHO HAVE ALREADY COMPLETED SURVEY

You are seeing this screen because you indicated that you have already completed this survey.

Please enter contact information below so we may clarify our records. 

First Name:

Last Name:

Email Address:

Name of school or primary work setting:

Phone Number (xxx-xxx-xxxx):

Best day and time to reach you by 

phone, if needed?
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Information about you and your experiences

Please provide a phone number where we can reach you in case of technical difficulties with your 

survey. 

Phone Number (xxx-xxx-xxxx):

1. Which of the following best describes your professional role during the current school year (2014-

15)? If you play more than one role, select the one that describes you best.

O Administrator

O Regular education classroom teacher

O Special education teacher

O Teacher of the Hearing Impaired

O Teacher of the Visually Impaired

O Teacher of the Deafblind/Dual Sensory Impaired

O Early childhood educator/specialist 

O Paraprofessional or Assistant Teacher

O Intervener

O Audiologist

O Behavior Specialist

O Independent Living Skills Instructor

O Occupational Therapist

O Orientation & Mobility Specialist 

O Physical Therapist

O Psychologist

O Rehabilitation Counselor

O School counselor

O Sign Language Interpreter

O Social worker

O Speech Pathologist

O Transition Specialist

O Consultant 

O Other:

2. What is the total number of schools and districts in which you work during the current school year

(2014-15), across your entire caseload of children and youth?

[a] schools located in [b] district(s)
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3. Thinking across your entire caseload, in what type of setting do you provide services most of the 

time? If none of these apply, use “Other” to explain.

O General education classroom

O Self-contained special education classroom

O Special education resource room or therapy room (including service-provider location)

O Classroom in a separate school for students with disabilities

O Residential school for students with disabilities

O In the home

O Other:

4. Is your primary work setting any of the following? Select one.

O School for the Deaf or Hard of Hearing

O School for the Blind

O School for the Deafblind

O None of the above

5. Thinking about only the children and youth with deafblindness with whom you work, in what type 

of setting do you provide services most of the time? If none of these apply, use “Other” to explain.

O General education classroom

O Self-contained special education classroom

O Special education resource room or therapy room (including service-provider location)

O Classroom in a separate school for students with disabilities

O Residential school for students with disabilities

O In the home

O Other:

6. Do you work exclusively with individuals with deafblindness?

O Yes

O No

7. How many children and youth with deafblindness all together do you work with (or expect to work 

with) during the school day this school year (2014-15)?

[a] children or youth located in [b] different schools

8. Please estimate the number of different children or youth with deafblindness with whom you have 

worked in your entire career in any capacity or setting.

children or youth
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9. How long have you worked in the field of special education or with people with disabilities?

[a] years [b] months

10. Do you consider yourself primarily to be a service provider for children and youth with 

deafblindness? 

O Yes

O No

11. What is your educational background? Check all that apply.

 High school degree or GED

 Associate’s degree (AA, A.Sc) 

 Bachelor’s degree (e.g., BA, BS, B.Sc., BFA)

 Master’s degree (e.g., M.Ed., MA, MS, M.Sc.)

 Doctoral degree (e.g., Ph.D., Ed.D.)

 Other:

12. How knowledgeable do you consider yourself to be overall in working with children and youth with 

deafblindness? On a scale of 1-5, rate yourself from “Not at all knowledgeable” to “Very 

knowledgeable”.

1 

Not at all 

knowledgeable

2 3 4 5 

Very 

knowledgeable

    

SKIP INSTRUCTIONS:

 If CUSTOMER SCREENER=1, proceed to Question 13

 If CUSTOMER SCREENER=0, skip to Question 19.
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In responding to Questions 13-15 below, please think about all the children and youth with 

deafblindness with whom you are working during the current school year (2014-15).

13. What are the ages of the children or youth with deafblindness with whom you currently work? 

Check all that apply.

 Birth-2 years

 3-5 years

 6-11 years

 12-17 years

 18-21 years

 Over 21

14. What are the primary educational placements of the students with deafblindness with whom you 

work? Check all that apply.

 In the general education class 80% or more of day

 In the general education class 40% to 79% of the day

 In the general education class less than 40% of the day

 Separate school

 Residential facility 

 Homebound / Hospital

 Correctional facilities

 Parentally placed in private school

15. Which of the following best describes the approximate communication level of those students? 

Check all that apply.

 Pre-symbolic communication (use primarily behaviors, signals to request, reject, or comment), 

limited ability to initiate participation in routines without support 

 Emerging symbolic communication (use behaviors, signals, gestures, pictures, object symbols 

along with very limited signs or speech to request, reject, or comment), partially participate in 

routines and instructional activities 

 Symbolic communication in familiar routines (use more formal signals, gestures, some sign 

language, tactile symbols, pictures; emerging print or Braille), initiate interactions with others 

 Symbolic communication (use primarily speech, signs, fingerspelling, pictures, print, or Braille), 

engage in instructional activities at or near grade-level 
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Topic Areas Needed for Support

16. Currently, what are the topic areas for which you have a need for information or support in your 

work with children and youth with deafblindness? Check yes or no for each topic. You can see more 

information by holding your cursor over each topic.

Yes, I need 

support on 

this topic

No, I do not 

need support 

on this topic

Adaptive living/Self-care skills O O

Assessment O O

Assistive technology O O

Behavioral issues and behavioral management O O

Cochlear implants O O

Collaboration O O

Communication O O

Community and independent living O O

Curriculum (What to teach) O O

Deafblindness overview O O

Etiology O O

IEP/IFSP development and implementation O O

Inclusion O O

Intervener roles and competencies O O

Instructional strategies (How to teach) O O

Orientation and Mobility (O&M) O O

Parent/family support O O

Socialization, leisure and recreation O O

State and local policies O O

Teachers’ roles, credentialing and competencies O O

Transition (early childhood) O O

Transition (secondary) O O

Visual and tactile accommodations to sign language O O

17. Do you need information or support in any other topic areas in order to provide services to a child 

or youth who is deafblind?
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18. To what extent is your need for information and support to serve children and youth with 

deafblindness being met through resources currently available to you, from any source?

1 

Not at all met

2

Somewhat met

3

Mostly met

4

Completely or nearly 

completely met

O O O O

Knowledge and Receipt of Support

19. Where do you usually turn for information or support on how to work with children and youth with 

deafblindness? Check all that apply.

 Colleagues at my school

 Colleagues at other schools

 School administrators

 My district Special Education director or staff in the district special education office

 Schools for the deaf, blind or deafblind

 Parents and family members of the child or youth

 The Internet

 National organizations or projects serving children with deafness, blindness, or deafblindness

 State organizations or projects serving children with deafness, blindness, or deafblindness

 Local organizations or projects serving children with deafness, blindness, or deafblindness

 Other:

20. Do you have any familiarity with the [Name of state deafblind project?] Check all that apply.

 a. I have not heard of this center/project before.

 b. I have heard about this center/project, but have never had any interaction with it.

 c. I interacted with this center/project in some way in the past, but not last year (2013-14) or this 

year (2014-15).

 d. I had interaction with this center/project during the 2013-14 school year.  If this or the 

following response option is checked, respondent will go to Question 21; otherwise, respondent 

will go to the Thank You & Contact page.

 e. I have interacted with this center/project during the current school year (2014-15).  If this or 

the previous response option is checked, respondent will go to Question 21; otherwise, respondent 

will go to the Thank You & Contact Information page.

SKIP INSTRUCTIONS:

 If 20d and/or 20e are selected, go to Question 21. 

 If 20a or 20b or 20c are selected, go to Thank You & Contact page.
14

21. Please indicate all of the kinds of contact you had with [Project name] during the previous school 

year (2013-14) or the current school year (2014-15). Check all that apply.

 a. I received child-specific support. Child-specific support means assistance that was focused on a 

particular child or children with deafblindness, and took place either in person or through the use 

of distance technology.

OR

I received staff-specific support. Staff-specific support means intensive, individualized assistance 

that was focused on helping me to serve deafblind children, but which was not focused on a 

specific child or children. This support took place either in person or through distance technology.

 If this is checked, respondent will go to Question 24. 

 b. Attended an in-person training conducted by the project/center (e.g., workshops, workgroups, 

seminars, symposia, institutes, forums)  If this is checked and the first response option is not 

checked, respondent will go to Question 22.

 c. Participated in web-based training  If this is checked and the first response option is not 

checked, respondent will go to Question 22.

 d. Downloaded information or materials from the project website

 e. Received information or materials through mail

 f. Received information through email or telephone

 g. Received a newsletter

 h. Other:

If none of the first three response options is checked, respondent will go to Thank You & Contact 

Information page.

SKIP INSTRUCTIONS:

 If 21a is checked regardless of any other boxes, go to Question 24. 

 If 21b or 21c is checked and 21a is not checked, go to Question 22. 

 If none of the first three response options (21a, 21b, or 21c) is checked, go to Thank You & 

Contact Information page.
15

22. Think about the in-person and/or web-based training you received from [Project name] during the 

previous school year (2013-14) or the current school year (2014-15). Please indicate whether the 

support you received covered each of the topic areas shown below. You can see more information 

by holding your cursor over the topic.

Received 

support on 

this topic

Did not 

receive 

support on 

this topic

Adaptive living/Self-care skills O O

Assessment O O

Assistive technology O O

Behavioral issues and behavioral management O O

Cochlear implants O O

Collaboration O O

Communication O O

Community and independent living O O

Curriculum (What to teach) O O

Deafblindness overview O O

Etiology O O

IEP/IFSP development and implementation O O

Inclusion O O

Intervener roles and competencies O O

Instructional strategies (How to teach) O O

Orientation and Mobility (O&M) O O

Parent/family support O O

Socialization, leisure and recreation O O

State and local policies O O

Teachers’ roles, credentialing and competencies O O

Transition (early childhood) O O

Transition (secondary) O O

Visual and tactile accommodations to sign language O O

23. Overall, how satisfied were you with the in-person and/or web-based training you received from 

[Project name] during the previous school year (2013-14) or the current school year (2014-15)?

1 

Very dissatisfied

2

Somewhat dissatisfied

3

Somewhat satisfied

4

Very satisfied

O O O O

Skip to: Thank You & Contact Information page
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24. Just to confirm: During the past two school years (2013-14 and 2014-15), did you receive targeted 

(child-specific and/or staff specific) support from anyone affiliated with [Name of state deafblind 

project?] 

Targeted support can include child-specific support (i.e., assistance focused on a particular child) 

and/or staff-specific support (i.e., support focused on helping you meet the needs of deafblind 

children generally). Targeted support takes place either in-person or through the use of distance 

technology. 

O Yes  Respondent continues to Question 25.

O No  Survey is complete and respondent will go to Thank You & Contact Information page.

TA Recipient Supplement

[These questions are received only by providers who are identified by the State Deaf-Blind 

Project as receiving targeted support]

25. Thinking about the previous school year (2013-14) and the current school year (2014-15), please 

indicate the number of different children or youth with deafblindness for whom you have received 

child-specific support from [Project Name]. If you did not receive support that was focused on a 

specific child, enter ‘0’ below.

children or youth

26. Please indicate the locations you received targeted support from [Project Name] during the 

previous school year (2013-14) or the current school year (2014-15). Check all that apply.

 In a child’s home

 In a school setting 

 In a child’s home using distance technology

 In a school setting using distance technology

 Other:

27. When was your first contact with [Project name]? Check one.

O This school year (2014-15) is my first year of contact with the project/center

O Last school year (2013-14) was my first year of contact with the project/center

O 2-3 years ago

O 4-5 years ago

O 6-10 years ago

O 11-15 years ago

O More than 15 years ago
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28. Which of the following best describes the timeframe of your most recent contact with the [Project 

name]? Check one.

O I have most recently been in contact with project staff within the past week.

O I have most recently been in contact with project staff within the past month.

O I have most recently been in contact with project staff earlier in the 2014-15 school year.

O I have most recently been in contact with project staff during the 2013-14 school year.

29. How did you first come into contact with [Project name]? Check one.

O Someone from the project initiated contact.

O I contacted the project directly.

O Another member of a student’s team contacted the project directly.

O The child or youth’s family contacted the project directly.

O An administrator from my school or district (or from my organization) contacted the project 

directly.

O I am not sure how contact was established.

O Other:

30. Think about only the targeted support you received from [Project name] from the 2013-14 school 

year onwards. Please indicate whether the support you received covered each of the topic areas 

shown below. You can see more information by holding your cursor over the topic.

Received support 

on this topic

Did not receive 

support on this 

topic

Adaptive living/Self-care skills O O

Assessment O O

Assistive technology O O

Behavioral issues and behavioral management O O

Cochlear implants O O

Collaboration O O

Communication O O

Community and independent living O O

Curriculum (What to teach) O O

Deafblindness overview O O

Etiology O O

IEP/IFSP development and implementation O O

Inclusion O O

Intervener roles and competencies O O

Instructional strategies (How to teach) O O

Orientation and Mobility (O&M) O O

Parent/family support O O

Socialization, leisure and recreation O O

State and local policies O O

Teachers’ roles, credentialing and competencies O O

Transition (early childhood) O O

Transition (secondary) O O

Visual and tactile accommodations to sign language O O
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Satisfaction with Support from Project

31. Please rate how much you agree with each of the following statements about the targeted support

you have received from [Project name], considering any support you received during the previous

school year (2013-14) or the current school year (2014-15).

Strongly 

disagree

Somewhat 

disagree

Somewhat 

agree

Strongly 

agree

Not 

applicable

a. The information provided was relevant 

and specific to the needs of the deafblind 

child or children I serve.

O O O O

b. The information provided was the right 

amount for me to be able to process.

O O O O

c. I was able to immediately apply at least 

some of the information in my work with 

a child or youth with deafblindness.

O O O O

d. The information I received played a role 

in helping children with deafblindness

progress.

O O O O

e. I was able to use the information in my 

work with children and youth with other 

disabilities.

O O O O O

f. The consultant was knowledgeable in the 

area in which support was provided.

O O O O

g. The consultant was non-judgmental in his 

or her approach to providing support.

O O O O

h. The consultant was able to explain and 

model practices and procedures 

effectively.

O O O O

i. The consultant established a collaborative 

partnership with me.

O O O O

j. The consultant took into account local 

limitations in resources when providing 

support. 

O O O O

32. Overall, how satisfied were you with the support you received from [Project name], considering any 

support you received during the previous school year (2013-14) or the current school year (2014-

15)?

1 

Very dissatisfied

2

Somewhat dissatisfied

3

Somewhat satisfied

4

Very satisfied

O O O O
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33. What recommendations or suggestions made by the consultant did you find most helpful?

34. What additional assistance or training, if any, would you like to receive?

Thank You & Contact Information

Thank you for taking the time to respond to these questions. Your input is extremely important and will 

be used to improve opportunities to receive support for those who work with children and youth with 

deafblindness. 

While your responses are confidential, we do need your contact information to follow up to clarify 

responses if necessary and for tracking purposes. Please provide your information below and then click on 

the ‘Save & Continue’ button to proceed to the screen to submit your survey.

When you hit submit, you will immediately receive confirmation at the email address below, along with a 

gift code number for $20 at Amazon.com, so please ensure that the email you enter is correct.

First Name:

Last Name:

Sex (for demographic purposes only): O Male O Female 

Email Address:

Name of district:

Name of school or primary work setting:

Best day and time to reach you, if needed?
20

SUBMIT SCREEN

Instructions for submitting the survey:

You have completed the survey, but your data have not yet been submitted. By clicking the ‘Submit’ 

button, your data WILL BE SUBMITTED. You will be directed to the final screen so that you can print a 

copy of your completed survey for your records.

To review or change any of your responses, please click on the ‘Return to Survey’ button or the relevant 

question in the Question Guide on the left. Questions highlighted in grey in the Question Guide were 

skipped based on a previous response. 

After submitting your data, you will not be able to review and change your responses.

Please click on the ‘Submit’ button to submit your data now. 

Submit Return to Survey
21

FINAL SCREEN

Thank you!

Your survey data have been submitted. We appreciate your taking the time to provide us with this 

important information.

Please print and keep a copy of this survey for your records using the link provided below.

If you have any questions, please contact us at TADEval@westat.com or toll-free at 1-800-xxx-xxxx. 

For information on resources related to deafblindness through your state deaf-blind project, please click 

the link for your state below.

Alabama

Alaska

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

District of Columbia

Florida

Georgia

Hawaii

Idaho

Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Maryland

Massachusetts

Michigan

Minnesota

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire

New Jersey

New Mexico

New York

North Carolina

North Dakota

Ohio

Oklahoma

Oregon

Pennsylvania

Puerto Rico

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah

Vermont

Virginia

Washington

West Virginia

Wisconsin

Wyoming
22

TA Topics

[The information in the second column is what will be visible when a respondent scrolls over the topic 

area]

Topic Areas of TA May Include...

Adaptive living/Self-care skills Personal care and self-help skills such as toileting, dressing, 

eating, and cooking

Assessment Using assessment strategies for program planning for a 

student; vision, auditory/hearing, cognitive, communication, 

functional, educational, developmental or other assessment

Assistive technology Technology to maximize sensory input; learning how to use 

devices; switches for toys and daily living, computer access; 

assistive listening devices (hearing aids, FM systems), low 

vision devices

Behavioral issues and behavioral 

management

Behavioral issues, behavior management; help in identifying 

why the child/student engages in problem behaviors; 

functional behavioral analysis and positive behavior support

Cochlear implants Eligibility questions related to cochlear implants; adapting 

Auditory Verbal Therapy; maintenance and use of the device

Collaboration Teaming skills and transdisciplinary teams; collaborative 

teaming, transdisciplinary teams; conveying effective 

strategies to new teachers/new settings

Communication Communication system development (e.g., object use, tactile 

symbols, Braille, gesture); building relationships with the 

student; developing and extending conversations

Community and independent living Strategies to improve community and independent living 

skills; self-determination

Curriculum (What to teach) What to teach and target; ideas for teaching meaningful skills 

for the student’s age; teaching skills in the natural 

environment/setting

Deafblindness overview Overview of deaf-blindness, vision and hearing loss, gaining 

more information about a child’s diagnosed condition

Etiology Usher Syndrome; CHARGE Syndrome; prematurity; impact of 

etiology on learning and interacting

IEP/IFSP development and 

implementation

Developing an appropriate IEP/IFSP for a student with 

combined vision and hearing loss; person-centered planning; 

Inclusion Appropriate adaptations for inclusive education; accessing 

general education curriculum; targeting appropriate skills for 

inclusive education; effective strategies for teaching in 

inclusive settings

Intervener roles and competencies (Interveners are people who have specialized training in 

deafblindness to work consistently and one-to-one with a 

child who is deafblind). Topics could include the role of the 

intervener; Council for Exceptional Children competencies for 

interveners
23

Topic Areas of TA May Include...

Instructional strategies (How to teach) How to use visual cues or auditory cues; hand-under-hand; 

physical assistance with children/students who have multiple 

disabilities; documenting child/student progress and 

modifying instruction accordingly; literacy mode 

determination (use of Braille, large print, etc.); organizing a 

daily routine (sequence of activities, transition from one 

activity to another)

Orientation and Mobility (O&M) Instruction on helping a student locating himself in his 

environment and using environmental information;

travel and navigation independence for any age

Parent/family support Connecting parents to other parents; increasing collaboration 

between family and school personnel; parent advocacy and 

leadership; sibling issues; wills, trusts and benefits; respite 

care

Socialization, leisure and recreation Recreation and leisure skills, social-emotional concerns 

(relationships with others); friendship facilitation

State and local policies Alternate assessment; Common Core standards

Teachers’ roles, credentialing and 

competencies

Developing credentialing plans; defining the role of the 

teacher of deafblind students; keeping teachers up to date; 

Council for Exceptional Children competencies for teachers of 

deafblind students; professional activities for continuing ed

Transition (early childhood) Transition from early intervention to preschool; from 

preschool program to kindergarten program

Transition (secondary) Transition from school to adult services, including college, 

work, rehabilitation, group homes, vocational 

training/employment

Visual and tactile accommodations to 

sign language

Assessing the students’ need for accommodations; training 

staff in specific strategies (tactile, signing, coactive signing)