1. Default Section

* 1. Do you or your child have a learning disability?

* 2. Relationship to disabled person

* 3. Age or grade level of disabled person

* 4. Type(s) of disability(s)

* 5. Do you or your child attend public school?

* 6. Do you or your child receive services through school organizations?

* 7. What type of services do you or your child receive through school organizations?

* 8. How effective do you feel those services are? (Please only mark services that apply)

  Very effective Effective Not effective
Scribe
Reader
Personal para
Individual tutoring
Special classes
Other

* 9. Do you or your child utilize after school or auxiliary tutoring?

* 10. How effective do you feel after school or auxiliary tutoring services are?

* 11. How many hours a week do you spend in disability specific tutoring or on in home learning strategy development exercises?

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