1. Survey Restraints, Seclusion, and Aversives
(Revised May 19, 2009)
Welcome to the Council of Parent Attorneys and Advocates (COPAA's) reporting form about abusive interventions in school. This is a survey about the use of restraints, seclusion, and aversive interventions upon children with disabilities in school programs. We very much appreciate your taking the time to complete this form.
Information that you report through COPAA will be shared with the Government Accountability Office (GAO), the investigative arm of Congress and the relevant House and Senate Education Committees.
We may also use the information to update our report on restraints, seclusion, and other abusive measures in school.
Our current report is at
The report will be updated on a regular basis.
In COPAA's own documents that we write, we avoid using your name unless we get your permission first. (So we might say "a Texas family....")But we cannot make any guarantees of confidentiality about Congress or the GAO and what they may do; we obviously do not control them. So, please do not share any information here that you do not want made public. Share only what you are comfortable sharing.
If you are an attorney or advocate who has represented several children, it is okay to select one child and just fill out the form for that child. Or if you prefer to answer for many children, you can.
INSTRUCTIONS: Only the questions with an asterisk (*) are mandatory; the other questions are all optional.
THERE IS A GRAY NEXT BUTTON AT THE BOTTOM OF THE PAGE. WHEN YOU FINISH EACH PAGE, CLICK THE GRAY NEXT BUTTON AND IT WILL TAKE YOU TO THE NEXT PAGE.
If you have any questions, please contact email@example.com
* * * THERE ARE MORE QUESTIONS ON THE NEXT PAGE. PLEASE CLICK ON THE GRAY NEXT PAGE BUTTON BELOW TO GO TO THE NEXT PAGE * * *