Exit this survey

* 1. Contact Information

2. How Did You Hear About the Special Needs Parent Committee?

* 3. Age of Child with Disability: __________ Grade In School: _________

4. Does Your Child Have?

5. Please select the top 4 workshops/discussions you would be likely to attend

6. How many workshops a year do you believe we should sponsor (topic driven)

7. How many workshops would you anticipate attending each year (topic drive)?

8. How many general meetings do you believe we should sponsor (i.e. open discussion, support, less topic driven)

9. When are you most likely able to attend a workshop?

10. Would you be willing to serve in a leadership position?