Teacher Survey

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* 1. Your name

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* 2. Name of school

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* 3. Email address

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* 4. What grade do you teach?

Pre-K

Kindergarten

1

2

3

4

5

6

7

8

9

10

11

12

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* 5. What is the age range of the students you teach?

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* 6. Are you currently participating in Special Olympics Chicago programs or programs funded by Special Children’s Charities?

Yes

No

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* 7. If no, would you like info?

Yes

No

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* 8. What types of programs would you find most helpful for your students?

Art and Music Therapy programs

Athletic and sports training programs, events, or competitions

Classes/programs provided by guest instructors from museums, cultural institutions, etc.

Classes teaching life skills such as cooking, healthy living, independent living skills, etc.

Field trips to museums, events, professional sports games

Other (please provide ideas!)

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* 9. What other equipment, supplies, or services can we provide to improve your students’ classroom experience?

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* 10. What other resources could we provide that are not currently available?