Special Factors: 5 Areas That May Affect IEP Services for Your Child - Web Module
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1.
Are you a: (Please check all that apply)
(Required.)
Parent
Surrogate/foster parent
Grandparent
Other relative/guardian
Regular educator
Special educator
Other professional
Administrator
Student
Other (please specify)
2.
Parents and guardians, does your child/young adult have a: (please check all that apply)
Individualized Family Service Plan (IFSP, please answer #3 and #4)
Individualized Education Program (IEP, please answer #3 and #4)
504 Plan (skip to #5)
Individual Health Care Plan (IHCP or IHP, skip to #5)
Suspected disability (skip to #5)
3.
Parents and guardians, what is your child/young adult's age?
4.
Please check your child/young adult's primary disability on the IFSP or IEP:
Autism spectrum disorder
Blind or visual impairment
Deaf or hard of hearing
Deaf-Blind
Developmental, cognitive, or intellectual disability
Developmental delay (early childhood)
Emotional or behavioral disorder
Other health disability
Physical or orthopedic impairment
Severe multiple impairments
Specific learning disability
Speech or language Impairment
Traumatic brain injury
5.
On the whole, how would you rate this training?
Excellent
Very good
Good
Fair
Poor
6.
Have you learned anything new through this inservice?
Yes
No
I found these topics most worthwhile:
7.
Will you use information learned through this inservice to help improve health outcomes for your child/students?
Yes
No
8.
(Parents) Did the inservice provide information to help you make decisions about your child's education?
Yes
No
9.
What suggestions do you have for improving this workshop?
10.
How did you learn about this workshop? (please check all that apply)
Parent group
Friend
Newspaper
Radio/TV
Flyer from school
Flyer from PACER
Flyer from another organization
PACER website
PACER e-mail/newsletter
Other (please specify)
11.
To help PACER with planning future workshops, what topics would be of interest to you?
Achievement in Special Ed
ADHD
Assessments
Alternative Assessments
Assistive Technology
Bullying
Communication
Disability information
Discipline/Behavior Interventions
Early Childhood
Emotional/Behavioral Disorder
Graduation Standards/Requirements
Health Info, insurance, etc.
Housing
IEP
Inclusion
No Child Left Behind
Parent Professional Partnership
Results in Special Ed
School Reform
Section 504
Services for adults
Social Security
Supported Employment
Transition
Understanding Research
Other (please specify)
12.
Other comments:
Current Progress,
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