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NP Special Ed Parents
North Penn Parents Special Education Council Survey
We Need Your Input!
1.
Are you a Parent/Caregiver?
Yes
No
2.
Are you a teacher/professional?
Yes
No
3.
If yes, please check all that apply:
Elementary School
Middle School
High School
Other (please specify)
4.
School district:
5.
School name:
6.
Are you a member of NPSEC at this time?
Yes
No
Did not know about NPSEC, please email me information:
7.
If no, are interested in becoming a member?
Yes
No
Yes, Please email me information
8.
If you have not attended NPSEC meetings/workshops, what were the obstacles?
Inconvenient day/time
Inconvenient location
Lack of transportation
Didn’t know about the meeting/workshop
Lack of time
Not interested
Other (please specify)
9.
If you answered inconvenient day/time and/or inconvenient location, please suggest a day/time and/or location that would be more suitable:
day/time
location
10.
If NPSEC were to host their monthly meeting/workshops via webinar or teleconference, would you attend?
Yes
No
Unsure
11.
How would you prefer to be notified of upcoming NPSEC meetings/workshops?
Email
Phone Call
Mail
Text
Note sent home in child’s backpack
Other (please specify)
12.
During the past year, tell us how you have learned about our meetings/events:
Email from child's teacher
Note/flyer sent home in child’s backpack
NPTV
NPSEC website
NPSEC listserv/ NPSEC email
Radio interview
Article in paper
Social media
Other parent/support group
Other (please specify)
13.
Which of the following topics would motivate you to attend a NPSEC meeting?
Parents Guide to IEPs
Financial/Insurance
Sensory Processing/Integration
Homework
Extracurricular/Summer Activities
Family Issues
Bullying and Teasing
Parents Guide to Mediation / Hearings
Basic Rights and Special Education Law
Behavioral Management for Children with Special Needs
Other (please specify)
14.
Would you be motivated to attend a meeting focused on a specific disability or special need? If so, please suggest topics that would be of interest to you:
15.
Would you be interested in:
Outside Guest Speakers
Presentations by School Personnel
Parent Speakers
Workshops
Video Presentations
Support Group for Parents and Caregivers
Support Group for teens
Workshop for teens
Networking with parents from other SEC’s in other communities
Other (please specify)
16.
Please share any other ideas or suggestions on how we can better meet your needs:
17.
Contact information - optional
Name(s):
Address:
Address 2:
City/Town:
State:
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
Email Address:
Phone Number:
18.
Number of children with educational disabilities/exceptionalities:
19.
Child/Children's age:
20.
Grade level(s):
21.
Child/Children’s primary educational disability/exceptionality:
