Our family of Catholic schools: Assessing special needs Caring for God's special children Question Title * 1. Do you have a child with special needs? Yes No Question Title * 2. If yes, would you say your child: Has moderate learning challenges Has severe learning challenges Has physical challenges Other (please specify) Question Title * 3. I believe Catholic schools most need to address special needs children who are: Profoundly mentally handicapped Ambulatory but do not speak Ambulatory and speak High functioning Other (please specify) Question Title * 4. I believe special needs children would function best: In a stand-alone school without inclusion and with small classrooms and low student- teacher/student ratios In a school with some independent classrooms and some inclusion for soft subjects In an existing school that has full inclusion, with a shadow Other (please specify) Question Title * 5. My child is now attending: Public school Catholic school Private school Homeschool Other (please specify): Question Title * 6. I am familiar with: St. Michael’s Holy Rosary Resource programs at existing schools Other (please specify): Question Title * 7. My child’s biggest hurdle in Catholic school has been: Needs constant hands-on supervision/ needs a nurse on staff Not potty trained Non-verbal Attention/ focus issues Other (please specify) Question Title * 8. Studies have shown that the potential cost to provide appropriate special education services to each student is approximately $20,000 per year. I can afford the following: $5000 per year $10,000 per year $15,000 per year $20,000 per year Other (please specify) Question Title * 9. My child lives in the following civil parish: Question Title * 10. My child is 5 or under 6 to 10 11-15 16 or older Question Title * 11. My church parish is: Question Title * 12. Do you have any other comments in regard to special education? Done