Parent Survey For Special Education Families

Parent/Family Member Name

First NameLast Name

Email Address

Phone Number

What is the best way for the Parent Mentor to contact you. (Check all that apply)

Phone callEmail

Child's Name (Optional)

First NameLast Name

Current Grade

Name of School

1. My child and I are connected to at least one school or community resource to help reach my child's academic or personal goals.

Strongly agreeAgreeDisagreeStrongly disagree

2. There is regular communication between me and the school about my child's goals and how they support his/her success

Strongly agreeAgreeDisagreeStrongly disagree

3. My child and I have been informed of choices and decisions we need to make that will lead to a high school diploma.

Strongly agreeAgreeDisagreeStrongly disagree

4. I am considered an equal partner with teachers and other professionals in planning and making decisions about my child's program?

Strongly agreeAgreeDisagreeStrongly disgaree

5. I feel adequately prepared to participate in my child's IEP team meeting.

Strongly agreeAgreeDisagreeStrongly disgaree

6. My child and I are working together at home using tools provided to us to reach academic and personal goals.

Strongly AgreeAgreeDisagreeStrongly disagree

7. I understand the impact of school attendance on my child's education.

Strongly AgreeAgreeDisagreeStrongly disagree

8. My child has regular opportunities to improve language development at home.

Strongly AgreeAgreeDisagreeStrongly disagree

I would be interested in attending Parent trainings on the following topics. (Check all that apply)

Understanding my child's IEPCommunity ResourcesPreparing for transition from High schoolGeorgia's High School Diploma and State-Defined Alternate DiplomaOther

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