2014-2015 Parent Survey
Instructions:
● Select only one response for each item.
● Please darken the circles completely and clearly using a pen or pencil.
● If you are using a pencil, make clean erasures.
Return this paper survey in the postage-paid envelope provided OR use the
online survey at https://web.auburn.edu/institute/parentsurvey .
This survey is for parents of Alabama students who receive services through an Individualized
Education Program (IEP). In this survey, “special education” refers to special services provided to
students through an IEP.
1. School System Name: (Please circle the city or county school system where your child
attends school.)
Crenshaw County
Daleville City
DeKalb County
Demopolis City
Dothan City
Elba City
Elmore County
Eufaula City
Florence City
Attalla City
Birmingham City
Blount County
Boaz City
Chambers County
Cherokee County
Chickasaw City
Chilton County
Covington County
2. My Child’s Gender:
Female
Hoover City
Houston County
Jackson County
Jacksonville City
Lanett City
Leeds City
Marshall County
Mobile County
Morgan County
Opp City
Oxford City
Pell City
Pike County
Satsuma City
Sheffield City
Thomasville City
Tuscumbia City
Male
3. My Child’s Race:
American Indian or Alaska Native
Asian
Black or African American
Hispanic/Latino
Native Hawaiian or Other Pacific Islander
White
Multi Race—Two or more races
4. My child receives IEP services mainly because of his/her:
Autism
Deaf-Blindness
Developmental Delay
Emotional Disability
Hearing Impairment
Intellectual Disability
Orthopedic Impairment
Other Health Impairment
Specific Learning Disability
Speech or Language Impairment
Traumatic Brain Injury
Visual Impairment
Multiple Disabilities
5. My Child’s Grade:
Preschool
Grades K-6
Grades 7-8
Grades 9-12
6. My Child’s Special Education Program:
For each of the following statements, select
your level of agreement
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
strongly
agree
agree
no
opinion
disagree
strongly
disagree
▼
▼
▼
▼
▼
The school offers parent training about
special education issues.
The school sends me information about
activities and workshops for parents.
Teachers and administrators ensure that I
have fully understood the Procedural
Safeguards (the rules in the federal law that
protect the rights of parents).
The school offers me a variety of ways to
communicate with teachers.
Teachers show a willingness to learn more
about my child's needs.
IEP meetings are scheduled at a time and
place that are convenient for me.
Teachers and administrators encourage me
to participate in the decision-making process.
I am considered an equal partner with
teachers and other professionals in planning
my child's program.
The school communicates regularly with me
regarding my child’s progress on IEP goals
and other important issues.
Written information I receive is provided to
me in an understandable way.
The principal sets a positive and welcoming
tone in the school.
The next two items should be ONLY answered by parents of pre-school (age 3 to 5)
children:
My child transitioned from early intervention
12. (birth to 3years program) to preschool special
education without a break in services.
My child receives his/her preschool special
13. education services with children without
disabilities to the maximum extent possible.
The next two items should be ONLY answered by parents of students with a secondary
transition plan: (usually age 16 and older, but may be younger).
11.
14.
15.
The school encourages student involvement
in IEP meetings.
Services are provided to help students
become self-sufficient after high school.
Thank you, please write any comments on the next sheet.
My Additional Comments: (please write on the lines below)
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Thank you for your comments.