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Adverbial Morphemes in Tactile ASL - Gallaudet University

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PDE – Steven D. Coll<strong>in</strong>s<br />

Appendix F – Informant Background Information<br />

_________________________________________________________________________________________________________<br />

F. Appendix F – Informant Background Information<br />

Informant Background Information<br />

Name: _________________________________________________<br />

Address: ______________________________________________<br />

City: _______________________ State: _______________Zip: _________________<br />

Phone No. : _______________________________________________<br />

(area code)<br />

Education <strong>in</strong>formation<br />

1. When you were <strong>in</strong> elementary school, were you at:<br />

a. Deaf Institute<br />

b. Hear<strong>in</strong>g school<br />

i. With <strong>in</strong>terpreter<br />

ii. Without <strong>in</strong>terpreter<br />

c. Ma<strong>in</strong>stream program<br />

i. With <strong>in</strong>terpreter<br />

ii. Without <strong>in</strong>terpreter<br />

iii. Only with special group<br />

d. None<br />

e. Other: _____________________<br />

2. When you were <strong>in</strong> elementary school, which communication did you use:<br />

a. Oral<br />

b. Contact Sign (PSE)<br />

c. Sign English<br />

d. <strong>ASL</strong><br />

e. Other: __________________<br />

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