We are inviting people to take part in an online discussion group, focus group, or one-on-one interviews. These will enable our researchers to understand how people with experience of hearing impairment describe the impact of their condition on quality of life. If you agree to take part, you may be invited to attend an online discussion group, focus group discussion, or one-on-one interview. Depending on practicalities, we may conduct some interviews or focus groups in person. However, if you agree to take part in the study, you are under no obligation to attend any in-person meetings.

Before you decide whether or not to take part, it is important for you to understand why we are doing this research and what it would involve for you to participate. Please read the Participant Information Sheet and consider whether you would like to take part. If you would like to take part, we will try to make it as easy as possible for you to do so. Large print versions of the Participant Information Sheet and other forms are available on request.

If you have any questions about the study, then please do contact us. If you wish to take part, please complete the Enrolment Form below.

Hearing bolt-on enrolment form

Your name *

Your home address

Address Line 1

City

State / Province / Region

Postal Code

Your telephone number

Your email address *

Your date of birth

How would you categorise the severity of your hearing impairment? *

e.g. mild / moderate / moderately severe / severe / profound

Do you have cochlear implant(s) or hearing aid(s)? *

Please list any health conditions that affect your hearing

Would you be willing and able to join a video call? *

We will be organising interviews designed for BSL users. Would you prefer to take part in one of these sessions?

• Yes
• No

Submit

After completing the Enrolment form, please complete the consent form.