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?

The next three questions ask about how various people affected your choice to go into education as a profession, and this is followed by three questions on how the same people affected your choice to go into a particular subject or grade specialty.

A6a) How have family / friends affected your choice to go into education as a profession?

A6b) How have vocational / academic advisors affected your choice to go into education as a profession?

A6c) How have education faculty affected your choice to go into education as a profession?

A7a) How have family / friends affected your choice to go into a particular subject or grade specialty?

A7b) How have vocational / academic advisors affected your choice to go into a particular subject or grade specialty?

A7c) How have education faculty affected your choice to go into a particular subject or grade specialty?

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. Use the following rating scale: (1=Excellent, 2=Good, 3=Average, 4=Poor, 5=Very Poor). For questions that are “not applicable” you may either enter a “6” or just skip ahead to the next question — whichever is easiest considering the technology that you are using.

B1) Non-Technical Strategies
(Effectiveness: 1=excellent, 2=good, 3=average, 4=poor, 5=very poor, 6=not applicable)

B1a) Altered work hours to allow for more breaks

B1b) Reduced or part time hours

B1c) Service animal (e.g., guide dog)

B1d) Teaching / personal assistant

B1d) Team teaching / some job tasks reassigned

B1f) Telecommuting

B2) Physical Access to the School or Campus
(Effectiveness: 1=excellent, 2=good, 3=average, 4=poor, 5=very poor, 6=not applicable)

B2a) Accessible parking

B2b) Automatic door

B2d) Hand rails

B2f) Restroom modification(s)

B2g) Stair lift

B2h) Wheelchair or scooter use (at work only)

B3) Classroom Furnishings
(Effectiveness: 1=excellent, 2=good, 3=average, 4=poor, 5=very poor, 6=not applicable)

B3a) Automatic door

B3b) Ergonomic/custom designed desk

B3c) Ergonomic/custom designed chairs

B3d) Lighting (additional)

B3e) Rearranged furniture for better accessibility

B3f) Steps / lifts to better position the employee

B3g) Wheelchair accessible fume hood

B3h) Wheelchair accessible laboratory bench

B4) Reading (i.e., textbooks, course materials, student papers)
(Effectiveness: 1=excellent, 2=good, 3=average, 4=poor, 5=very poor, 6=not applicable)

B4a) Audio taped materials

B4b) Braille formatted documents

B4d) Electronic documents / e-books

B4e) Enlarged print materials

(Effectiveness: 1=excellent, 2=good, 3=average, 4=poor, 5=very poor, 6=not applicable)

B4g) Reading comprehension strategies

B4h) Reading guides / aids

B4i) Scanner / OCR

B4j) Tactile graphics

B5) Writing (i.e., grading papers, completing paperwork)
(Effectiveness: 1=excellent, 2=good, 3=average, 4=poor, 5=very poor, 6=not applicable)

B5a) Adapted writing instruments

B5b) Audio taped materials

B5c) Braille notetaker or stylus

B5d) Computer (general use)

B5e) Computer access strategies (see below)

B5f) Electronic spell checkers

B6) Using a Computer
(Effectiveness: 1=excellent, 2=good, 3=average, 4=poor, 5=very poor, 6=not applicable)

B6a) Alternative keyboard

B6b) Alternative mouse/cursor control

B6c) Braille display

B6d) Glare guard

B6e) On-screen keyboard

B6f) Screen magnification

(Effectiveness: 1=excellent, 2=good, 3=average, 4=poor, 5=very poor, 6=not applicable)

B6g) Screen reading software (e.g., JAWS)

B6h) Software to speed typing

B6i) Software for organization, spelling

B6j) Voice recognition (e.g., NaturallySpeaking)

B7) Lecturing to a Class
(Effectiveness: 1=excellent, 2=good, 3=average, 4=poor, 5=very poor, 6=not applicable)

B7a) Communication device (AAC)

B7b) Hearing aid or assistive listening device

B7c) Overhead projector instead of blackboard

B7d) Computer projector instead of blackboard

B7e) Sign language interpreter

B8) Other Communication
(Effectiveness: 1=excellent, 2=good, 3=average, 4=poor, 5=very poor, 6=not applicable)

B8a) Amplified phone

B8b) CART (real-time captioning)

B8c) Communication device (AAC)

B8d) Hearing aid or assistive listening device

B8e) Relay service

B8f) Sign language interpreter

B8g) Speaker phone

(Effectiveness: 1=excellent, 2=good, 3=average, 4=poor, 5=very poor, 6=not applicable)

B8i) Use of written communication

B8j) Use of other commun. method (fax, email)

B8k) Voice / one-touch dialing

B9) Time Management
(Effectiveness: 1=excellent, 2=good, 3=average, 4=poor, 5=very poor, 6=not applicable)

B9a) Checklists of steps

B9c) Cueing alarm

B9d) Personal Digital Assistant (PDA)

B9e) Reminder devices

B9f) Talking clock

B10) Mathematics
(Effectiveness: 1=excellent, 2=good, 3=average, 4=poor, 5=very poor, 6=not applicable)

B10a) Calculator software

B10b) Large button calculator

B10c) Large display calculator

B10d) Math notation software

B10e) Nemeth braille

B10f) Talking / auditory calculator

B11) Laboratory Activities
(Effectiveness: 1=excellent, 2=good, 3=average, 4=poor, 5=very poor, 6=not applicable)

B11a) Clamping devices to hold materials

B11b) Computer-based laboratory sensors

B11c) Computer-based virtual experiments

B11d) Devices that measure a pre-set amount

B11e) Equipment modified for use

B11f) Equipment operated with custom adaptive devices

B11g) Funnel for transferring materials

B11h) Gripping aids

(Effectiveness: 1=excellent, 2=good, 3=average, 4=poor, 5=very poor, 6=not applicable)

B11i) Leverage aids to reduce force needed for task

B11j) Magnifier / CCTV

B11k) Measurement tools with large print

B11l) Measurement tools with tactile / Braille cues

B11m) Measurement tools with talking / auditory cues

B11n) Plasticware (instead of breakable glass)

B11o) Tactile cues

B11p) Visual cues

B12) Emergency / Safety
(Effectiveness: 1=excellent, 2=good, 3=average, 4=poor, 5=very poor, 6=not applicable)

B12a) Accessible fire extinguisher

B12b) Emergency call button

B12c) Evacuation chair

B12d) Extra smoke / fire alarm

B12e) Lowered eyewash

B12f) Strobe alarm / exit lights

B12g) Vibrating/auditory pager

B12h) Wheelchair-compatible safety apron

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?

D4) What state do you live in?

D5) What is your year of birth?

D6) What year did you first develop a disability?

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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