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* 1. Please provide your first and last name.

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* 2. Which district/LEA are you working for?

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* 3. What is your role/job title?

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* 4. Which model does your district currently use for SLD Identification? 

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* 5. In regard to the PSW Model, how long has your district been implementing this model?

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* 6. What have been some of the successes and challenges with the implementation of the PSW model in your district?

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* 7. What is your current comfort level with using the aligned PSW software program (PPA)?

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* 8. What is your current comfort level with explaining the PSW model to newly hired psychologists?

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* 9. What is your current comfort level with assisting newer psychologists with questions related to the implementation of the PSW model?

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* 10. What is your current comfort level with assisting psychologists with more complex cases for which the PSW model is being utilized?

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* 11. What is your current comfort level with providing training to other assessment team members (SAI teachers, SLPs, and/or administrators) about PSW?

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* 12. Why did you register for PSW Leaders? What are your expectations for this experience?

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