1. Section One (of three)

Everyone who completes a survey will be entered into a quarterly drawing for a $25 gift certificate from your choice of the following stores: Wal-Mart, K-Mart, Target, Staples, or Office Depot.

Question Title

* 1. What is your Child's Age (in years)?

Question Title

* 2. What grade is your child currently in?

Question Title

* 3. What school does he/she attend?

Question Title

* 4. In what county is the school located?

Question Title

* 5. What was your child's age upon referral to Special Education or Early Intervention?

 
20% of survey complete.

T