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1.  DATE:  03/15/2017

You are invited to participate in a research project about hearing loss, cognitive decline, and connectivity solutions for those with hearing loss.  Hearing loss and cognitive decline may present with similar signs and symptoms – requests for frequent repetition and reinstruction, frustration, depression, and general social withdrawal.  The purpose of this survey is to determine if Occupational Therapists and Occupational Therapy Assistants in Montana have access to, and use, screening tools to differentiate between hearing loss and dementia.  The purpose of this survey is also to determine if there is awareness of hearing loss connectivity solutions which can be shared with patients/clients.


This online survey should take less than ten minutes to complete.  Participation is voluntary. Responses will remain anonymous. You have the option to not respond to any question.  Participation or non-participation will not impact any present or future relationship you may have with the University of Montana. Submission of this survey will be interpreted as your informed consent to participate and that you affirm that you are at least 18 years of age.

If you have any questions about the research, please contact the Principal Investigator, Dr. Nancy Dold (406-241-2365) or Dr. Al Yonovitz (406-241-2364). If you have any questions regarding your rights as a research subject, please contact the UM Institutional Review Board (IRB) at (406-243-6672).



To Whom It May Concern,

My name is Jaime Schilling, and I am a Post Professional Doctoral student in the Occupational Therapy Department of Quinnipiac University.  I am contacting you because I am a co-investigator in a study exploring how public school-based occupational therapists are supporting student attainment of keyboarding skills for children in grades kindergarten through twelve.  This brief survey (which should take no more than 10 minutes to complete, and is completely anonymous), will add to the body of literature addressing practice patterns and intervention approaches that school-based occupational therapists are using in order to promote the development of keyboarding skills in students attending public schools. 

We are actively recruiting occupational therapy practitioners who spend at least 75% of each week working in public schools within the United States.  We were hoping that you would help us to recruit participants by posting this invitation and link to our survey on your website, or via email to your members.  Feel free to copy and paste this email into any of your correspondences. 

Here is the link to our survey:

This research has been reviewed and approved in accordance with Quinnipiac University’s IRB procedures for research involving human subjects. If you have any questions, please contact Jaime Schilling M.S., OTR/L at or Mindy Garfinkel OTD, OTR/L at We appreciate your consideration in helping us gain further knowledge of the current practices of occupational therapists in supporting student attainment of keyboarding skills. Thank you!


Jaime Schilling M.S., OTR/L


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