3.6 RESULTADOS DE LA INVESTIGACIÓN
3.6.1 DISTRIBUCIÓN DE PACIENTES CON INFECCIÓN PUERPERAL
Check the appropriate box:
1. Center-based teacher
Itinerant teacher
Both
2. Age range of students you serve: ______________________________
3. Signed-based
Appendix G Instructions for Parents
Step by Step Instructions for Parents and Guardians
1. Read letter
2. Sign consent form
3. Fill out demographic survey
4. Fill out FOCAS survey – If you have any questions call Rachael Ragin at 919- 773-2977
5. Return consent form and both surveys in the stamped addressed envelope to: Division of Services for the Deaf and the Hard of Hearing
319 Chapanoke Road Raleigh, NC 27603 ATTN: Rachael Ragin
Appendix H Instructions for Teachers
Step by Step Instructions for Teachers
1. Read letter
2. Sign consent form
3. Fill out demographic survey
4. Return consent form and surveys in the stamped addressed envelope to: Division of Services for the Deaf and the Hard of Hearing 319 Chapanoke Road
Raleigh, NC 27603 ATTN: Rachael Ragin
5. Give enclosed packets to the family of the child written on the outside of the envelope.
Appendix I Program Demographics Teacher Type of Program Location of Program Age Range of Students 0-2 3-5 Deaf Hard of Hearing
1. Sign Based Durham 1-3 5 1 2 4
2. Sign Based Durham 3-5 0 7 4 3
3. Sign Based Fayetteville 2-5 3 7/1DPI 7 4
4. Auditory Oral Greenville
5. Sign Based Greenville 1-5 1 8/1DPI 8 2
6. Sign Based Jacksonville 2-5 1 3/1DPI 2 3
7. Sign Based Lumberton 3-5 0 6 2 4
8. Sign Based New Bern 1-5 3 3 2 4
9. Auditory Oral Raleigh 3-5 0 7 3 4
10. Auditory Oral Raleigh see above see above see
above
see above
see above
11. Auditory Oral Fayetteville 3-5 0 4 3 1
12. Sign Based Wilmington 3-5 0 3/1DPI 2 3
13. Itinerant Wilson 3-5 0 6 3 2/1SI
14. Itinerant Wilson 1-3 4 2/2DPI 5 3
15. Itinerant Wilson 0-5 4 3/1DPI 5 3
16. Itinerant Wilson 1-3 8 1/1DPI 5 4/1SI
17. Itinerant Wilson 0-2 5 0 4 1
18. Auditory Oral Fayetteville 3-5 0 6 2 4
19. Family Outreach
Coordinator
Wilson 0-2 1 0 0 1
20. Auditory Oral Greensboro 2-5 1 4 14 3
21. Auditory Oral Greensboro 1-6 1 5 see
above
see above
22. Auditory Oral Greensboro 3-6 0 4 see
above
see above
23. Sign Based Greensboro 1-5 8 12 11 7
24. Sign Based Greensboro see above see above see
above
see above
see above
25. Sign Based Ramseur 2-5 1 3 3 1
26. Itinerant Greensboro Parent ed
27. Itinerant South. Pines 2-6 1 3 2 2
28. Sign Based Thomasville 1-5 3 9 8 3
29. Sign Based Thomasville see above see above see
above
see above
see above
30. Auditory Oral W- Salem 2-6 1 4 4 1
31. Sign Based W- Salem 1-6 1 5 0 6
32. Itinerant W- Salem 1-4 6 2 8 0
33. Sign Based Asheville 2-6 1 8 3 4/ 2SI
34. Auditory Oral Asheville see above see above see
above
see above
see above
35. Sign Based Charlotte 1-3 4 4 4 4
36. Sign Based Charlotte 1-4 2 3 5 0
37. Sign Based Charlotte 2-4 1 4 5 0
38. Auditory Oral Charlotte 2-5 1 8 6 3
39. Sign Based Salisbury 1-4 6 3 9 0
40. Sign Based Shelby 2-3 2 4 6 0
42. Sign Based Morganton 3-5 0 5 4 1
43. Auditory Oral Morganton 2-5 1 4 1 4
44. Itinerant Morganton 1-4 7 2 7 2
45. Itinerant Morganton 1-3 11 1 8 4
46. Itinerant Morganton 1-2 12 0 4 8
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