The focus of this survey is to identify schools that are needing of improvement or change, so provide your survey answers on a single school that you choose with this in mind. Email any additional questions or additional information to: team@dyslexicadvantage.org

If your child hasn't any negative experiences with school, it would still help to fill out survey questions based on your experience. Our goal is to make the experiences of ALL dyslexic students better.  Thank you!  We'll share the results of the survey with you when it is completed! Please share!

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* 1. I am a...

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* 2. What is your first name or nickname

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* 3. What is your email address? * (we will send results after analysis complete)

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* 4. My student is currently in...

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* 5. Student Information

  Age / Grade
Current Age
Current Grade
Age When Dyslexia Identified

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* 6. There is a family history of dyslexia.

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* 7. I would be willing to be contacted by Dyslexic Advantage in an effort to improve policies for dyslexic students.

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* 8. I would consider taking action at the district level to improve the situation for dyslexic students in school.

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* 9. Name of School

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* 10. This school is...

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* 11. School District

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* 12. Zip Code

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* 13. State

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