Preschool Survey for Parents of Children with Disabilities 2015

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* 1. The school district that you reside in is:

Urban (city)

Rural (country)

Suburban

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* 2. Your child is:

3 years old

4 years old

5 years old

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* 3. Is this your first year working with the school district?

Yes

IF No, is this your 2nd year?

IF No, is this your 3rd year?

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* 4. My child's disability is:

ADD/ADHD

Autism

Deaf-Blindness

Developmental Delay

Emotional Disturbance

Gifted

Mental Retardation (CD)

Multiple Disabilities

Orthopedic Impairment

Other Health Impairment

Specific Learning Disability

Speech/Language Impaired

Suspected But Undiagnosed

Traumatic Brain Injury

Visually Impiared-Blindness

Questions 5, 6, & 7 are for English Language Learners (Students learning English as a second language)

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* 5. Was your child's native language used when he/she was evaluated?

Yes

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* 6. For you to be able to be involved in the special education process, did the school district ask you if you wanted or needed interpreter?

Yes

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* 7. Did the school district provide a qualified interpreter at the IEP meeting to be able to communicate with you?

Yes

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* 8. Did the school district provide you with information on your parent rights, "Whose Idea Is This?"(This is a booklet)

Yes

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* 9. Were your parental rights explained to you when you received, “Whose Idea Is This”?

Yes

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* 10. Do you feel you understand the procedural safeguards?

Yes

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* 11. Did you feel that you were an active part of the IEP (Individualized Education Program) team?

Yes

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* 12. Were your questions and concerns about your child and the special education process addressed when you contacted the district?

1 or 2 times

3 or more times

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* 13. As a parent, I need to give consent for:

My child to be evaluated for special education services

My child to receive special education services

My child to be re-evaluated

All of the above

I don’t know

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* 14. Informed Consent means: (Please select all those that apply)

I agree with what was discussed

I understand the tests and tools that will be used for the evaluation or re-evaluation of my child

I give permission as a parent for my child to receive an evaluation or re-evaluation or to receive special education services

I understood the next step in the process

All of the above a.-d.

I don’t know

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* 15. Did the school district contact you within 30 days of your child's referral for an evaluation to request consent?

Yes

I am not sure

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* 16. Was the school district evaluation completed within 90 days after the referral?

Yes

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* 17. After the evaluation was completed, was your child identified as a child with a disability under one of the thirteen categories of IDEA (Listed in question #4)

Yes

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* 18. Do you feel the category was appropriate?

Yes

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* 19. Were preschool services discussed?

Yes

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* 20. Do you feel that all of your child's needs are being met?

Yes

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* 21. Do you have an understanding of the services your child will be receiving and the skill areas the service is working to develop?

Yes

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* 22. Is behavior a concern for your child?

Yes

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* 23. Was behavior addressed in the IEP?

Yes

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* 24. As the parent, I have the right to discuss questions and concerns about my child's progress at anytime?

True

False

Least Restrictive Environment (LRE)

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* 25. Least Restrictive Environment (LRE) means that my child should be: (Please select all that apply)

Educated along with children without disabilities, to the greatest extent possible

Receiving his/her education and related services within the regular classroom as much as possible

All of the above

I don’t know

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* 26. Appropriate LRE for my child was determined during the IEP meeting and after the IEP team has determined necessary services?

True

False

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* 27. As the parent, I had a role in determining LRE for my child through discussions with the IEP team?

True

False

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* 28. When the placement of your child was being discussed by the IEP team, were the following considered:(Please select all that apply)

My child’s needs

Intensity of the supports

Frequency of the supports

All of the above

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* 29. Was your child’s placement based specifically on one of the following factors:

Severity of Disability

Category of Disability

Configuration of Delivery System (when/or where your child receives services)

Availability of Space in the classroom

No, the team decided based on my child’s needs

I am not sure