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* 2. B.  Please check the school district(s) in which you work or the school district in which your child attends school.

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* 3. C.  Please check the age range(s) below of children with disabilities you serve or the age range that best describes your child.

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* 4. Section 2.  Quantitative Review
Are programs available to meet the needs of the identified special education students in your district(s)?  If you rate an area as "Needs Improvement", please comment below on your specific concerns.

  Adequate Needs Improvement Unable to Determine
Learning Disabilities
Cognitive Disabilities
Community Based Education (CBE)
Autism
Emotional Disabilities
Early Childhood
Physically/Health Impaired
Hearing/Visually Impaired
Deaf/Blind
Speech/Language Impaired

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* 5. Section 3.  Identification/Evaluation Processes
Are the following identification/diagnostic services and activities adequate to identify student who maybe in need of special education?  If you rate an area as "Needs Improvement", please comment below on your concerns.

  Adequate Needs Improvement Unable to Determine
Childfind Activities
Case Review/Screening Procedures
Full Case Study Procedures
IEP Conference Procedures

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* 6. Section 4.  Related and Support Services - Quantitative Review
Are the following related and support services adequate to meet the needs in your district(s)?  If you rate an area as "Needs Improvement", please comment below on your specific concerns.

  Adequate Needs Improvement Unable to Determine
Psychological Services
Social Work Services
Occupational Therapy
Physical Therapy
Extended School Year (Summer)
Speech & Language Services
Inclusion
Behavioral Management Intervention
Step/Transition

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* 7. Section 5.  In-Service/Personnel Development
A.  Please rate the following categories as to your inservice needs.

  Important Not Important Not Applicable
Curriculum Development
Referral Process
Parent Involvement
Suicide Prevention
Autism
Special Education Law
State Regulations
IDEA Reauthorization
Behavior Management
Secondary Transition
Progress Monitoring
CPI Training
Childhood Syndromes/Educational Impact
Certification
Mental Illness/Educational Impact
Attention Deficit Disorder
Positive Behavioral Interventions & Supports (PBIS)
Crisis Prevention Strategies (Physical Restraint)
Birth-3 Programming/Transition
RTI Problem Solving Model
CBM Training
IEP Writing
RTI Interventions
Educational Software
LD Eligibility - Decision Making

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* 8. Section 5.  In-Service/Personnel Development  B. Ideas for in-service programs

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