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* 1. Are you a: (Please check all that apply)

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* 2. Parents and guardians, does your child/young adult have a: (please check all that apply)

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* 3. Parents and guardians, what is your child/young adult's age?

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* 4. Please check your child/young adult's primary disability on the IFSP or IEP:

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* 5. On the whole, how would you rate this training?

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* 6. Have you learned anything new through this inservice?

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* 7. Will you use information learned through this inservice to help improve health outcomes for your child/students?

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* 8. (Parents) Did the inservice provide information to help you make decisions about your child's education?

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* 9. What suggestions do you have for improving this workshop?

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* 10. How did you learn about this workshop? (please check all that apply)

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* 11. To help PACER with planning future workshops, what topics would be of interest to you?

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* 12. Other comments:

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