DSI Questionnaire 2012-13 1. Alaska Dual Sensory Impairment (DSI) Questionnaire 2012-2013 Question Title * 1. I am a(n) Teacher Paraprofessional Parent Administrator Other (please specify) Question Title * 2. Please indicate specific DSI supports you are interested in receiving from AK DSI Services. Check all that apply! Strategies to develop collaborative partnerships. Develop and implement individualized supports for students. Professional development support for staff: Print information on specific topic. Training/Information on use of assistive technologies: Print Information on specific topic. Training/Information for use of instructional strategies Information from national databases on DeafBlindness Specific information: How to document children’s interests and learning characteristics Specific information: Development of educational milestones Specific information: Communication and Language Braille/Sign Language/Tangible Symbols/Speech Specific information: Children’s Social Interactions Specific information: Children’s Adaptive Behavior Specific information: Evidence Based Practices Specific information: Coaching for Paraprofessionals / Interveners Question Title * 3. Your preferred mode of receiving support is: On Site Technical Assistance Videoconferencing Web Based Conferencing (Skype/Yahoo) All of the Above Question Title * 4. Your preferred length of student service report? One Page Two Pages Three Pages Question Title * 5. Please rate the usefulness of products and services provided: High Medium Low USING YOUR IDEAS!Please answer the following questions so we may design supports to meet your needs! Question Title * 6. What is your highest program need? Question Title * 7. What AK DSI service has worked best for you? Question Title * 8. What AK DSI service does not work for you? Question Title * 9. How can we improve AK DSI services? Question Title * 10. Other Comments/Feedback Question Title * 11. Communication: Please list below names and e-mail addresses of students, parents, teachers, paraprofessionals, and others you want included on the DSI mailing list. Thank you for taking the time to complete this questionnaire!Your time is sincerely appreciated! Done