Educational Needs Assessment 1. About You Please tell us about you. Question Title * 1. I am a... Parent or family member Professional (educator, service provider, case manager, etc.) Other (please specify) Question Title * 2. If you are the parent or family member of someone with a disability or special needs, what is their age? Under age 3 Age 3 to 13 Age 14 to 18 Over age 18 Not Applicable Question Title * 3. Which race/ethnicity best describes you? (Please choose only one.) American Indian or Alaskan Native Asian / Pacific Islander Black or African American Hispanic White / Caucasian Biracial/Multiracial I prefer not to say Question Title * 4. I live in this area: San Fernando Valley Santa Clarita Valley Antelope Valley Another area Next