Parent Survey For Special Education Families
Parent/Family Member Name
First Name
Last Name
Email Address
Phone Number
What is the best way for the Parent Mentor to contact you. (Check all that apply)
Phone call
Email
Child's Name (Optional)
First Name
Last Name
Current Grade
Please Select
Pre -K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Name of School
Please Select
Camden County High School
Camden Middle School
Crooked River Elementary
David L. Rainer Elementary
Kingsland Elementary
Mamie Lou Gross Elementary
Mary Lee Clark Elementary
Matilda Harris Elementary
St. Marys Elementary
St. Marys Middle School
Sugarmill Elementary
Woodbine Elementary
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 agree
Agree
Disagree
Strongly disagree
2. There is regular communication between me and the school about my child's goals and how they support his/her success
Strongly agree
Agree
Disagree
Strongly 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 agree
Agree
Disagree
Strongly disagree
4. I am considered an equal partner with teachers and other professionals in planning and making decisions about my child's program?
Strongly agree
Agree
Disagree
Strongly disgaree
5. I feel adequately prepared to participate in my child's IEP team meeting.
Strongly agree
Agree
Disagree
Strongly disgaree
6. My child and I are working together at home using tools provided to us to reach academic and personal goals.
Strongly Agree
Agree
Disagree
Strongly disagree
7. I understand the impact of school attendance on my child's education.
Strongly Agree
Agree
Disagree
Strongly disagree
8. My child has regular opportunities to improve language development at home.
Strongly Agree
Agree
Disagree
Strongly disagree
I would be interested in attending Parent trainings on the following topics. (Check all that apply)
Understanding my child's IEP
Community Resources
Preparing for transition from High school
Georgia's High School Diploma and State-Defined Alternate Diploma
Other
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