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* 1. My child attends

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* 2. My child's disability is

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* 3. I think the overall severity of my child's disability is:

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* 4. My child's school placement is best described as:

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* 5. My child's main type of special education support in school is:

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* 6. Support services for my child are provided:

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* 7. Did the school district/charter school your child is attending inform you that your child cannot be removed from the general education classroom merely because of the severity of his or her disability?

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* 8. Did the school district/charter school your child is attending inform you that it must consider the full range of supplemental aids and services in the general education classroom, including modification or curriculum content, before recommending a more restrictive setting:

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* 9. Did you understand the information from the school personnel about educating your child in general education classes with supplementary aids and services?

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* 10. If your child is educated in regular class for 80% of the day or more, please describe how the placement decision was made:

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* 11. If your child is not educated in the regular class for 80% of the day or more, what are the reason? Please check all that apply (if not applicable skip this question and go to 12.)

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* 12. Please read the following questions carefully and check the box that best describes your opinion.
My child spends the right amount of each school day in general education classrooms.

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* 13. My child is making progress on his/her IEP goals.

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* 14. My child's teachers have the supports they need to implement the IEP.

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* 15. The supports identified in my child's IEP are implemented.

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* 16. My child's needs for support in extra-curricular activities are addressed in the IEP.

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* 17. My school provides and uses equipment or technology that is required in my child's IEP.

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* 18. All supports I think my child needs are in the IEP.

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* 19. I am respected as a member of the IEP team.

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* 20. My suggestions about teaching my child are welcomed.

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* 21. I am invited to trainings that provide information about my child's disability and educational programs.

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* 22. I am invited to trainings that provide information for parents regarding educational practices, e.g. inclusive practices, assistive technology, behavior support and parent rights.

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* 23. My school openly supports inclusion of students with disabilities.

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* 24. The school answers questions about my rights.

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* 25. I think my child is getting a good education.

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