School-Based PT Services Provided Under RtI
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1. Default Section
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1
. In which state do you practice?
What is your local education agency (LEA/name of school district)?
In which state do you practice? What is your local education agency (LEA/name of school district)?
State:
LEA:
2
. Please list the staff that comprises the RtI committees for your LEA:
Please list the staff that comprises the RtI committees for your LEA:
3
. Is this a consistent model/committee or does it change with circumstances?
Is this a consistent model/committee or does it change with circumstances?
Static model/committee
Changes with each student
Changes as needed
Other, please specify in text box below
Explain "other" response here
4
. How often are you involved in this committee? Do you meet regularly as part of a progress monitoring team to track data on students?
How often are you involved in this committee? Do you meet regularly as part of a progress monitoring team to track data on students?
5
. Is your involvement in RTI a result of a mandate from administration?
Is your involvement in RTI a result of a mandate from administration?
Yes
No
Other, explain in text box below...
Specify "other" response here
6
. Were you part of the collaborative, intervention process at your LEA?
Were you part of the collaborative, intervention process at your LEA?
Yes
No
Other, explain in text box below...
Specify "other" response here
7
. How are RtI plans and services determined in your LEA?
How are RtI plans and services determined in your LEA?
8
. My LEA provides RtI plans with:
My LEA provides RtI plans with:
Accommodations and environmental modifications only
Any appropriate strategies, interventions and/or services
Either a or b as appropriate for the individual student
We don’t have any students with RtI plans
I don’t know
Other, please explain below:
Please explain "other" response here
9
. Please list all strategies, interventions and/or services that may be provided to students in your LEA under RtI plans:
Please list all strategies, interventions and/or services that may be provided to students in your LEA under RtI plans:
10
. My information about our implementation of RtI plans is from:
My information about our implementation of RtI plans is from:
Written policy
Hearsay
Initial training for this position
Subsequent on-the-job training
My own research
Experience
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