Parent Needs Assessment FY 2022 Survey

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* 1. So that we may contact you to provide the information you need, please tell us a bit about yourself:

Name

Email Address

Phone Number

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* 2. In which county do you live?

Escambia

Okaloosa

Santa Rosa

Walton

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* 3. What grade level best describes your child/children?

Pre-school or pre-kindergarten (ages 3, 4 and 5, not yet in kindergarten)

Elementary (K-5)

Middle (6-8)

High (9-12)

12+ (18-22 years)

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* 4. Where does your child receive services?

On a public school campus

On a charter school campus

On a private school campus

Other (home schooled, hospital, etc.)

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* 5. Please rate the following topics according to your need for training or information:

Other (please specify)

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* 6. I am also interested in:

Parent support groups

Parenting classes

Attending a local disability-related conference

Attending training/information sessions for parents

Information on recreational resources and social opportunities

Information on a specific disability such as: learning disabilities, emotional disabilities, autism, Attention Deficit Disorder, Traumatic Brain Injury

Other (please specify)

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* 7. When is the best time for you to attend workshops/meetings?

The weekday mornings (before school)

During the school day

The afternoons from Monday - Friday (after school)

Weekdays after 5 p.m.

Saturdays

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* 8. Please add any other comments that you feel would be helpful in our efforts to improve services for families of children with disabilities in our region:

Thank you! Please click "Done" following this message. You will be redirected to our website, and that way, you will know your information has been sent to us. Please also "Like" FDLRS Emerald Coast on Facebook, or follow us on Twitter @FDLRS_EmeraldC so that alerts on upcoming services and events will be sent directly to you.

	No need	Low need	Moderate need	High need
Accommodations and Modifications	Accommodations and Modifications No need	Accommodations and Modifications Low need	Accommodations and Modifications Moderate need	Accommodations and Modifications High need
Assisting My Child with Homework	Assisting My Child with Homework No need	Assisting My Child with Homework Low need	Assisting My Child with Homework Moderate need	Assisting My Child with Homework High need
Behavior Management Programs/Strategies	Behavior Management Programs/Strategies No need	Behavior Management Programs/Strategies Low need	Behavior Management Programs/Strategies Moderate need	Behavior Management Programs/Strategies High need
Building Relationships with School Personnel -- Communication Strategies	Building Relationships with School Personnel -- Communication Strategies No need	Building Relationships with School Personnel -- Communication Strategies Low need	Building Relationships with School Personnel -- Communication Strategies Moderate need	Building Relationships with School Personnel -- Communication Strategies High need
Choosing Strategies for Managing Behaviors	Choosing Strategies for Managing Behaviors No need	Choosing Strategies for Managing Behaviors Low need	Choosing Strategies for Managing Behaviors Moderate need	Choosing Strategies for Managing Behaviors High need
Creating Prekindergarten Learning Opportunities at Home	Creating Prekindergarten Learning Opportunities at Home No need	Creating Prekindergarten Learning Opportunities at Home Low need	Creating Prekindergarten Learning Opportunities at Home Moderate need	Creating Prekindergarten Learning Opportunities at Home High need
Fun and Educational Apps on the iPad	Fun and Educational Apps on the iPad No need	Fun and Educational Apps on the iPad Low need	Fun and Educational Apps on the iPad Moderate need	Fun and Educational Apps on the iPad High need
How to Promote Problem-Solving and Positive Social Skills	How to Promote Problem-Solving and Positive Social Skills No need	How to Promote Problem-Solving and Positive Social Skills Low need	How to Promote Problem-Solving and Positive Social Skills Moderate need	How to Promote Problem-Solving and Positive Social Skills High need
Inclusive Practices	Inclusive Practices No need	Inclusive Practices Low need	Inclusive Practices Moderate need	Inclusive Practices High need
Organizing Educational Records (binder workshop)	Organizing Educational Records (binder workshop) No need	Organizing Educational Records (binder workshop) Low need	Organizing Educational Records (binder workshop) Moderate need	Organizing Educational Records (binder workshop) High need
Pre-Kindergarten Transition: Going to BIG School!	Pre-Kindergarten Transition: Going to BIG School! No need	Pre-Kindergarten Transition: Going to BIG School! Low need	Pre-Kindergarten Transition: Going to BIG School! Moderate need	Pre-Kindergarten Transition: Going to BIG School! High need
Providing Language Activities for Children	Providing Language Activities for Children No need	Providing Language Activities for Children Low need	Providing Language Activities for Children Moderate need	Providing Language Activities for Children High need
Secondary Transition	Secondary Transition No need	Secondary Transition Low need	Secondary Transition Moderate need	Secondary Transition High need
Self-Regulation (realizing the effect of emotions on self)	Self-Regulation (realizing the effect of emotions on self) No need	Self-Regulation (realizing the effect of emotions on self) Low need	Self-Regulation (realizing the effect of emotions on self) Moderate need	Self-Regulation (realizing the effect of emotions on self) High need
Understanding Community Resources (APD Med Waiver, CARD, FDLRS, FIN, SEDNET)	Understanding Community Resources (APD Med Waiver, CARD, FDLRS, FIN, SEDNET) No need	Understanding Community Resources (APD Med Waiver, CARD, FDLRS, FIN, SEDNET) Low need	Understanding Community Resources (APD Med Waiver, CARD, FDLRS, FIN, SEDNET) Moderate need	Understanding Community Resources (APD Med Waiver, CARD, FDLRS, FIN, SEDNET) High need
Understanding Your Child's IEP	Understanding Your Child's IEP No need	Understanding Your Child's IEP Low need	Understanding Your Child's IEP Moderate need	Understanding Your Child's IEP High need
Using Technology to Support Learning	Using Technology to Support Learning No need	Using Technology to Support Learning Low need	Using Technology to Support Learning Moderate need	Using Technology to Support Learning High need
Visual Schedules for Toilet Training	Visual Schedules for Toilet Training No need	Visual Schedules for Toilet Training Low need	Visual Schedules for Toilet Training Moderate need	Visual Schedules for Toilet Training High need