The New York State Education Department (NYSED) is asking for your opinion of the IEP Facilitation you recently took part in.  This questionnaire will help us to determine if the use of IEP Facilitation helped in the process to develop the IEP.  Questions marked with an asterisk require a response.  Your responses to the questions will remain private.  If you have any questions, please feel free to contact the Due Process Unit at NYSED P-12: Office of Special Education at (518) 473-0170.

Date of IEP Facilitation:

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* 1. Date of IEP Facilitation:

School District:

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* 2. School District:

Role of Person Completing this Form:

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* 3. Role of Person Completing this Form: