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* 1. I am considered an equal partner with teachers and other professionals in planning my child's program?

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* 2. All of my concerns and recommendations were documented on the IEP.

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* 3. The school gives me choices with regard to services that address my child's needs.

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* 4. The school explains what options parents have if they disagree with a decision of the school.

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* 5. I was offered special assistance (e.g.  such as Language Interpreter, Assistive Technology for Disability) so that I could participate in the IEP meeting.

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* 6. Where does your child attend school?

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* 7. How old is your child at this time?

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* 8. What grade is your child in?

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* 9. Please provide details here (if needed) regarding your child's grade in school.

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* 10. Is your child male or female?

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* 11. How old was your child when he or she was first identified as a student with special education needs?

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* 12. What is your child's ethnicity?

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* 13. What is your child's race?

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* 14. If you checked the 'Other' box in Question 13, please specify below.

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* 15. What is your relationship to the child?

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* 16. If you checked the 'Other' box in Question 15, please specify below.

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* 17. Please use this space to share any additional information or comments.

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