Survey of Teachers with Disabilities

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Section A: QUESTIONS ABOUT YOUR WORK HISTORY
A1) What is your current position (select the best fit)?











A2) What grade levels are you currently teaching (check all that apply)?










A3) What subjects do you currently teach (check all that apply)?











A4) What type of school do you teach at (check all that apply)?







A5) How many years have you been teaching?

A6) How have the following people affected your choice to go into education as a profession?
Strongly
encouraged		 Encouraged No effect Discouraged Strongly
discouraged
Family / friends
Vocational / academic advisors
Education faculty

A7) How have the following people affected your choice to go into a particular subject or grade specialty?
Strongly
encouraged		 Encouraged No effect Discouraged Strongly
discouraged
Family / friends
Vocational / academic advisors
Education faculty

A8) What barriers have negatively impacted your work experience (check all that apply)?



















Section B: QUESTIONS ABOUT JOB ACCOMMODATIONS


 Note: A job accommodation is defined as any modification or adjustment to a job or the work environment that will enable a qualified applicant or employee with a disability to participate in the application process or to perform essential job functions.
For each accommodation group, indicate the accommodations that you use for your job and rate its effectiveness. Choose N/A for not applicable.
B1) Non-Technical Strategies
Excellent Good Average Poor Very Poor N/A
Altered work hours to allow for more breaks
Reduced or part time hours
Service animal (e.g., guide dog)
Teaching / personal assistant
Team teaching / some job tasks reassigned
Telecommuting
Other


B2) Physical Access to the School or Campus
Excellent Good Average Poor Very Poor N/A
Accessible parking
Automatic door
Elevator
Hand rails
Ramps
Restroom modification(s)
Stair lift
Wheelchair or scooter use (at work only)
Other


B3) Classroom Furnishings
Excellent Good Average Poor Very Poor N/A
Automatic door
Ergonomic/custom designed desk
Ergonomic/custom designed chairs
Lighting (additional)
Rearranged furniture for better accessibility
Steps / lifts to better position the employee
Wheelchair accessible fume hood
Wheelchair accessible laboratory bench
Other


B4) Reading (i.e., textbooks, course materials, student papers)
Excellent Good Average Poor Very Poor N/A
Audio taped materials
Braille formatted documents
CCTV
Electronic documents / e-books
Enlarged print materials
Magnifier
Reading comprehension strategies
Reading guides / aids
Scanner / OCR
Tactile graphics
Other


B5) Writing (i.e., grading papers, completing paperwork)
Excellent Good Average Poor Very Poor N/A
Adapted writing instruments
Audio taped materials
Braille notetaker or stylus
Computer (general use)
Computer access strategies (see below)
Electronic spell checkers
Other


B6) Using a Computer
Excellent Good Average Poor Very Poor N/A
Alternative keyboard
Alternative mouse/cursor control
Braille display
Glare guard
On-screen keyboard
Screen magnification
Screen reading software (e.g., JAWS)
Software to speed typing
Software for organization, spelling
Voice recognition (e.g., NaturallySpeaking)
Other


B7) Lecturing to a Class
Excellent Good Average Poor Very Poor N/A
Communication device (AAC)
Hearing aid or assistive listening device
Overhead projector instead of blackboard
Computer projector instead of blackboard
Sign language interpreter
Other


B8) Other Communication
Excellent Good Average Poor Very Poor N/A
Amplified phone
CART (real-time captioning)
Communication device (AAC)
Hearing aid or assistive listening device
Relay service
Sign language interpreter
Speaker phone
TTY
Use of written communication
Use of other commun. method (fax, email)
Voice / one-touch dialing
Other


B9) Time Management
Excellent Good Average Poor Very Poor N/A
Checklists of steps
Computer
Cueing alarm
Personal Digital Assistant (PDA)
Reminder devices
Talking clock
Timers
Other


B10) Mathematics
Excellent Good Average Poor Very Poor N/A
Calculator software
Large button calculator
Large display calculator
Math notation software
Nemeth braille
Talking / auditory calculator
Other


B11) Laboratory Activities
Excellent Good Average Poor Very Poor N/A
Clamping devices to hold materials
Computer-based laboratory sensors
Computer-based virtual experiments
Devices that measure a pre-set amount
Equipment modified for use
Equipment operated with custom adaptive devices
Funnel for transferring materials
Gripping aids
Leverage aids to reduce force needed for task
Magnifier / CCTV
Measurement tools with large print
Measurement tools with tactile / Braille cues
Measurement tools with talking / auditory cues
Plasticware (instead of breakable glass)
Tactile cues
Visual cues
Other


B12) Emergency / Safety
Excellent Good Average Poor Very Poor N/A
Accessible fire extinguisher
Emergency call button
Evacuation chair
Extra smoke / fire alarm
Lowered eyewash
Strobe alarm / exit lights
Vibrating/auditory pager
Wheelchair-compatible safety apron
Other



B13) Overall, how would you rate your satisfaction with the accommodations that you use?









Section C: QUESTIONS ABOUT THE JOB ACCOMMODATION PROCESS
C1) Who took part in the decisions about what job accommodation(s) you received (check all that apply)?











C2) Who paid for the primary accommodation(s) you received (check all that apply)?









C3) How much did your accommodation(s) cost (best estimate)?


C4) As a student teacher, did you get the accommodations that you needed?


C5) As a college teaching assistant, did you get the accommodations that you needed?


C6) Were your teacher certification exams accessible?


C7) If you needed accommodations for your teacher certification exams, please specify.

C8) If you have ever worked as a substitute teacher, did you get the accommodations that you needed?


C9) Have you ever been fired or laid off from a job because job accommodations were not provided?



C10) If yes, what was the accommodation you needed but did not receive?

C11) Do you think more effective accommodations could be made? What?

C12) Have you ever designed your own job accommodations to make your work easier? What are they?



Section D: DEMOGRAPHICS
D1) What is your gender?



D2) What is your ethnicity (check all that apply)?







D3) Where is your school located?





D7) Which of the following best describe your current limitations (check all that apply)?












D8) Have you disclosed your disability to your current employer?



Thank you for completing this survey.


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