Question Title

Image
OMB Control Number 1040-0001
Expiration Date 09/30/2028


This is a survey for parents of students receiving special education services. Your responses will help guide efforts to improve services and results for children and families.

  1. If you have more than one child receiving special education services, complete the survey for each child. The form will automatically reload after each submission.
  2. You may skip any item that you feel does not apply to you or your child.
  3. For each statement below, please select one of the response choices: agree or disagree.
Schools Efforts to Partner with Parents

Question Title

* 1. The school considers me an equal partner with teachers and other professionals in planning my child's program.

Question Title

* 2. The school sends written information about my child that I can understand.

Question Title

* 3. At the IEP meeting, we discussed how my child would participate in school and statewide assessments.

Question Title

* 4. At the IEP meeting, we discussed accommodations and modifications that support my child's learning.

Question Title

* 5. The IEP team explains how my child is educated in the general education classroom with supports as much as possible.

Question Title

* 6. Teachers and administrators encourage me to participate in the decision-making process.

Question Title

* 7. Teachers and administrators ensure that I have fully understood the Procedural Safeguards, which are the rules in the federal law that protect the rights of parents of students with disabilities.

Question Title

* 8. The school has a person on staff who is available to answer my questions about my child’s special education program and services.

Question Title

* 9. The school provides Progress Reports for my child’s IEP goals.

Question Title

* 10. The school asks my opinion about how well special education services are meeting my child’s needs.

Choose or identify one option for each category:

Question Title

* 11. Child’s Grade

Question Title

* 12. Child’s Age in Years

Question Title

* 13. State of Residence

Question Title

* 14. Child’s Race/Ethnicity

Question Title

* 15. Child’s Primary Disability

Question Title

* 16. School Name

Paperwork Reduction Act Statement: This information is collected to properly identify each student’s instructional and residential program classification. The information is supplied by a respondent to obtain or retain a benefit that is to provide appropriate schooling. It is estimated that responding to the request will take an average of 10 minutes to complete. This includes the amount of time it takes to gather the information and fill out the form. If you wish to make comments on the form, please send them to the Information Collection Clearance Officer-Indian Affairs, 1849 C Street, NW, Washington, DC 20240. NOTE: Comments, names, and addresses of commenters are available for public review during regular business hours. If you wish us to withhold this information you must state this prominently at the beginning of your comment. We will honor your request to the extent allowable by law. In compliance with the Paperwork Reduction Act of 1995, as amended, this collection has been reviewed by the Office of Management and Budget and assigned OMB Control #1040-0001. Please note that an agency may not conduct or sponsor, and a person is not required to report to, a collection of information unless there is a valid OMB control number.