身份(Identity)
身心障碍者/残疾人(Disabled people)
身心障碍者/残疾人的家长(Parents of people with disabilities)
特教老师(Special education teacher)
其他 (Others)
想参加手心翻转农场项目说明会的原因(Reasons for wanting to attend the Palm Flip Farm project briefing)
报名参加手心翻转农场项目的面试(Register for the interview of the Palm Flip Farm project)
了解手心翻转项目(Understand the Palm Flip Project)
其他 (Others)
面试者年龄 (Age)
16岁以下(Below 16)
16~30岁(16-30 years old)
30岁以上(Above 30)
是否持有残疾证(Do you hold a disability certificate)
残疾类别(Disability category)
视力残疾(visual impairment)
听力残疾(Hearing disability)
言语残疾(Speech disability)
肢体残疾(Physical disability)
智力残疾(Intellectual disability)
精神残疾(mental disability)
多重残疾(Multiple disabilities)
说明具体哪几项残疾类别(Please specify which specific categories of disabilities are included)
其他 (Others)
残疾等级(disability rating)
一级(Level 1)
二级(Level 2)
三级(Level 3)
四级(Level 4)
日常有无异常行为或强烈情绪表现? / Any abnormal behavior or strong emotional outbursts?
现居住地址 (Current Residential Address)
面试者最高学历(Highest degree)
初中及以下(junior high school and below)
请填写毕业学校名称(Please fill in the name of your graduation school)
高中/中专(High school/vocational school)
请填写毕业学校名称(Please fill in the name of your graduation school)
大专(junior college)
请填写毕业学校名称(Please fill in the name of your graduation school)
本科及以上(Bachelor's degree or above)
请填写毕业学校名称(Please fill in the name of your graduation school)
监护人联系电话(Guardian's contact phone number)
家中是否有其他成员为身心障碍者（残疾人）(Are there any other members of the family who are disabled)
您觉得托养对面试者是否有用(Do you think daycare is useful for the test subjects)
您了解“手心翻转”农场是做什么的吗? / Do you understand what we do?
Why do interviewees want to come to Palm Flip Farm for job training? (Motivation)
希望面试者通过培训获得哪些技能? / Expected skills to acquire?
有机种植(Organic Farming)
生态养殖(Ecological Breeding)
农产品加工(Food Processing)
农业经营(Agri-business)
生活自理(Independent Living)
其他(Others)
家庭主要经济来源(Main source of family income)
目前经济状况能支持家庭开销吗?(Can the current income support family expenses?)
面试者是否有工作过(Has the interviewee worked before)
是(Yes)
请说明工作经历(Please provide your work experience)
否(No)
面试者曾有过工作收入协助家用吗?(Has the student ever worked to support the family?)
是(Yes)
否(No)
未曾工作(Never worked)
如果面试者进入农场，是否同意其未来的工作收入（生活补助）由面试者自主管理(If the interviewee enters the farm, do you agree to let them manage their future work income (living allowance) independently)
是(Yes)
否(No)
请说明原因(Please explain the reason.)
面试者是否希望通过自己的双手赚钱(Does the interviewee wish to earn money through their own hands)
是(Yes)
请说明赚钱后想做什么(Please explain what you want to do after making money)
否(No)
面试者的梦想/愿望是什么(What is the interviewee's dream/wish)
面试者目前主要照顾者(Current main caregiver)
父母(Parents)
祖父母(Grandparents)
其他(Others)
20年后，当照顾者年龄稍大后，面试者应该怎么办(What should interviewees do when caregivers get older in 20 years)
目前对面试者最感到困扰的问题(Current main concerns)
未来就业与自理(Future employment independence)
情绪管理(Emotional management)
缺乏社交与学习环境(Lack of social learning environment)
身体素质与动作发展(Physical motor skills development)
其他(Others)
请说明对面试者未来的期望(Your expectations for the student's future)
您是如何了解到此信息的?(How did you hear about us?)
朋友推荐(Referral)
社交媒体(Social Media)
官方网页(Website)
线下宣传(Offline)
其他(Others)