We want to learn what information, resources, and support would help your children's learning and development. This survey is for parents and caregivers of children who receive special education services or suspect that their child may need special education services. The child must live in the Salt River Pima-Maricopa Indian Community and includes children ages birth to 21 years. If they are school age, they can be enrolled in any school, within or outside of SRPMIC. Please complete one form per family. If you have multiple children that receive special education services, please consider all of their needs when responding. Your responses will help us plan family support and explore partnerships. This survey is anonymous. If you have any questions, please email seed@saltriverschools.org or call 480-362-2257.

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1. Which age groups or grade levels apply to your children with learning or developmental support needs? (Select all that apply.) (Required.)

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2. Where do your children currently attend school or receive early childhood services? (Select all that apply.) (Required.)

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3. What types of support would be most helpful to your family right now? (Select all that apply.) (Required.)

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4. Have you experienced any of these challenges recently? (Select all that apply.) (Required.)

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5. Which topics would you most like information or support with? (Select all that apply.) (Required.)

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6. How would you prefer to receive information or support? (Select up to two.) (Required.)

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7. What might make it difficult for you to participate in parent support activities? (Select all that apply.) (Required.)

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8. When would you usually be available for a parent support activity? (Select all that apply.) (Required.)

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9. What is something we could do to help your family feel more supported in meeting your children’s learning or developmental needs? (Optional written response; you may mention different needs for different children.)

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10. How would you prefer to hear about parent resources and upcoming activities? (Select up to two.)

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11. (OPTIONAL) If you would like us to send you resources and keep you updated about our family events, share your name and contact information below.

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