Surrogate Training - Web Module

Question Title

* 1. Are you a: (Please check all that apply)

Parent

Surrogate/foster parent

Grandparent

Other relative/guardian

Regular educator

Special educator

Other professional

Administrator

Student

Other (please specify)

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* 2. Parents and guardians, does your child/young adult have a: (please check all that apply)

Individualized Family Service Plan (IFSP, please answer #3 and #4)

Individualized Education Program (IEP, please answer #3 and #4)

504 Plan (skip to #5)

Individual Health Care Plan (IHCP or IHP, skip to #5)

Suspected disability (skip to #5)

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* 3. Parents and guardians, what is your child/young adult's age?

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* 4. Please check your child/young adult's primary disability on the IFSP or IEP:

Autism spectrum disorder

Blind or visual impairment

Deaf or hard of hearing

Deaf-Blind

Developmental, cognitive, or intellectual disability

Developmental delay (early childhood)

Emotional or behavioral disorder

Other health disability

Physical or orthopedic impairment

Severe multiple impairments

Specific learning disability

Speech or language Impairment

Traumatic brain injury

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* 5. On the whole, how would you rate this training?

Excellent

Very good

Good

Fair

Poor

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* 6. Do you feel more prepared to represent your child's educational needs at school meetings?

Yes

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* 7. Have you learned anything new at this inservice?

Yes

I found these topics most worthwhile:

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* 8. What suggestions do you have for improving this workshop?

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* 9. How did you learn about this workshop? (please check all that apply)

Parent group

Friend

Newspaper

Radio/TV

Flyer from school

Flyer from PACER

Flyer from another organization

PACER website

PACER e-mail/newsletter

Other (please specify)

Question Title

* 10. To help PACER with planning future workshops, what topics would be of interest to you?

Achievement in Special Ed

ADHD

Assessments

Alternative Assessments

Assistive Technology

Bullying

Communication

Disability information

Discipline/Behavior Interventions

Early Childhood

Emotional/Behavioral Disorder

Graduation Standards/Requirements

Health Info, insurance, etc.

Housing

IEP

Inclusion

No Child Left Behind

Parent Professional Partnership

Results in Special Ed

School Reform

Section 504

Services for adults

Social Security

Supported Employment

Transition

Understanding Research

Other (please specify)

Surrogate Training - Web Module

Question Title

* 1. Are you a: (Please check all that apply)

Question Title

* 2. Parents and guardians, does your child/young adult have a: (please check all that apply)

Question Title

* 3. Parents and guardians, what is your child/young adult's age?

Question Title

* 4. Please check your child/young adult's primary disability on the IFSP or IEP:

Question Title

* 5. On the whole, how would you rate this training?

Question Title

* 6. Do you feel more prepared to represent your child's educational needs at school meetings?

Question Title

* 7. Have you learned anything new at this inservice?

Question Title

* 8. What suggestions do you have for improving this workshop?

Question Title

* 9. How did you learn about this workshop? (please check all that apply)

Question Title

* 10. To help PACER with planning future workshops, what topics would be of interest to you?

Question Title

* 11. Other comments: