Special Education Self Review Parent Survey

Question Title

* 1. What is your child's school?

Question Title

* 2. What is your child's age?

Question Title

* 3. What is your child's primary exceptionality /disability?

Autism

Established Medical Disability

Orthopedic Impairment

Speech or Language Impairment

Deaf-Blindness

Hard of Hearing

Other Health Impaired

Traumatic Brain Injury

Deafness

Intellectual Disability / Mental Retardation

Visual Impairment including Blindness

Emotional Disturbance

Multiple Disabilities

Specific Learning Disability

Question Title

* 4. What is your child's ethnicity?

Not Hispanic or Latino

Hispanic or Latino

Intentionally Left Blank

Question Title

* 5. What is your child's race? (select one or more)

American Indian or Alaska Native

Black or African American

White

Asian Indian

Cambodian

Chinese

Filipino

Hmong

Japanese

Korean

Laotian

Other Asian

Vietnamese

Hawaiian

Guamanian

Samoan

Tahitian

Other Pacific Islander

Question Title

* 6. Does the district make a good faith effort to assist your child with achieving the goals and objectives or benchmarks listed on his/her Individualized Education Program?

Yes

Don't Know

Question Title

* 7. Do you receive progress reports on how your child is meeting his/her Individualized Education Program / Individualized Family Service Plan (IEP/IFSP) goals/outcomes at least as often as the regular report card schedule?

Yes

Don't Know

Question Title

* 8. Are the services your child is receiving in accordance with his/her IEP?

Yes

Don't Know

Question Title

* 9. Do you receive a copy of your parental rights (procedural safeguards) at least one time per year?

Yes

Don't Know

Question Title

* 10. Did the school district facilitate parent involvement as a means of improving services and results for your child?

Yes

Don't Know