Learning Disabilities Association Membership Survey

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1. I am a (select ALL that apply)

I am a (select ALL that apply)   Teacher Administrator Parent of a Child with Learning Disabilities Adult with Learning Disabilities Grandparent of a grandchild with Learning Disabilities Guardian or Foster Care Parent Mental Health Professional

Other (please specify)

2. My age range is:

My age range is:   18-23 24-30 31-40 41-50 51-60 61-70 70 +

3. I have visited the following (select ALL that apply):

I have visited the following (select ALL that apply):   LDA Michigan Website LDA Washtenaw Website LDA on Facebook LDA/CAUSE on Facebook LDA Yahoo Group LDA Wiki LDA Ning LDA IDEA Blog RTI Blog RTI Weebly LDA of Michigan (Lansing Office)

4. Please rate the value of the following benefits of Membership (1 being the most important reason; 7 being the least important reason)

	1 - MOST important	2	3	4	5	6	7 - LEAST important
Newsletters (State/Nat'l)	*Please rate the value of the following benefits of Membership (1 being the most important reason; 7 being the least important reason) Newsletters (State/Nat'l) 1 - MOST important	Newsletters (State/Nat'l) 2	Newsletters (State/Nat'l) 3	Newsletters (State/Nat'l) 4	Newsletters (State/Nat'l) 5	Newsletters (State/Nat'l) 6	Newsletters (State/Nat'l) 7 - LEAST important
Conference Discount	Conference Discount 1 - MOST important	Conference Discount 2	Conference Discount 3	Conference Discount 4	Conference Discount 5	Conference Discount 6	Conference Discount 7 - LEAST important
Networking	Networking 1 - MOST important	Networking 2	Networking 3	Networking 4	Networking 5	Networking 6	Networking 7 - LEAST important
Up-to-date Info on LD	Up-to-date Info on LD 1 - MOST important	Up-to-date Info on LD 2	Up-to-date Info on LD 3	Up-to-date Info on LD 4	Up-to-date Info on LD 5	Up-to-date Info on LD 6	Up-to-date Info on LD 7 - LEAST important
Toll-free Info and Referral Numbers	Toll-free Info and Referral Numbers 1 - MOST important	Toll-free Info and Referral Numbers 2	Toll-free Info and Referral Numbers 3	Toll-free Info and Referral Numbers 4	Toll-free Info and Referral Numbers 5	Toll-free Info and Referral Numbers 6	Toll-free Info and Referral Numbers 7 - LEAST important
Discounted Subscription - LD Journal	Discounted Subscription - LD Journal 1 - MOST important	Discounted Subscription - LD Journal 2	Discounted Subscription - LD Journal 3	Discounted Subscription - LD Journal 4	Discounted Subscription - LD Journal 5	Discounted Subscription - LD Journal 6	Discounted Subscription - LD Journal 7 - LEAST important
United Voice on LD Issues (State/Nat'l)	United Voice on LD Issues (State/Nat'l) 1 - MOST important	United Voice on LD Issues (State/Nat'l) 2	United Voice on LD Issues (State/Nat'l) 3	United Voice on LD Issues (State/Nat'l) 4	United Voice on LD Issues (State/Nat'l) 5	United Voice on LD Issues (State/Nat'l) 6	United Voice on LD Issues (State/Nat'l) 7 - LEAST important

5. I would be interested in attending if LDA of Michigan offered the following:

I would be interested in attending if LDA of Michigan offered the following:   IEP Workshop Multi-Sensory Approach to Reading Training Multi-Sensory Approach to Math Training Assistive Technology Workshop Universal Design Workshop Transition Workshop (Students from HS to Work-A-Day World or College Experience) Executive Functioning & Organization Workshop

Other (please specify)

6. I would be interested in attending a "Town Hall Meeting" Session in my area to brainstorm ideas about how to make the LDA Association more effective for its members?

I would be interested in attending a "Town Hall Meeting" Session in my area to brainstorm ideas about how to make the LDA Association more effective for its members?   Yes No

Contact Information (optional):

7. I am interested in receiving the LDA of Michigan Newsletter via email INSTEAD OF a paper copy by mail.

I am interested in receiving the LDA of Michigan Newsletter via email INSTEAD OF a paper copy by mail.   Yes No

If Yes, please provide email:

8. The LDA of Michigan is considering a monthly LD UPDATE Online. Would you be interested in accessing a feature like this as a part of your membership?

The LDA of Michigan is considering a monthly LD UPDATE Online. Would you be interested in accessing a feature like this as a part of your membership?   Yes No

9. I believe the LDA of Michigan could better serve its Members by:

I believe the LDA of Michigan could better serve its Members by:

10. I am interested in volunteering in the following ways during my year of Membership in the LDA of Michigan:

I am interested in volunteering in the following ways during my year of Membership in the LDA of Michigan:   Helping at the State Conference Presenting to interns in Special and/or General Education Serving as a Mentor Teacher (if certified in Special Ed) Facilitating a training/workshop at my school (or in my area) Assisting in the Lansing LDA Office (200 Museum Dr., Ste 101) Hosting an informal coffee/chat in my area

Other (please specify)