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Parent/family Survey questions – for parents, grandparents, family members in Montana who have children receiving services through the infant/toddler program(Part C) and/or school-based special education services (Part B).
Greetings families in Montana,
Please complete and submit the following survey if you have children who receive or have received infant and toddler and/or special education services.
*Skip any questions you are not comfortable with or are not sure about.
*If there are check boxes, check as many as you need.
*If you have more than one child who has received services, you may choose to do multiple surveys or to enter all information on one survey.
*Spouses/other family members are encouraged to complete surveys also.
*All information shared is ANONYMOUS. Individual results will remain CONFIDENTIAL. Only summary information will be published.
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| Section 1 – Your Household |
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| I reside in this area of MT: |
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| I would describe myself as a: |
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| Total Household Income(approximate): | | |
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| I have a child/children within these age ranges: |
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| Number of children included on this survey: | | |
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| I would describe my child’s ethnicity as (check as many as needed): |
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| If your child graduated or left school, date of departure: | | |
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| Describe briefly the services your child receives: |
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| Child’s disability (federal/state categories plus other). Check all that apply: |
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| My child is receiving services through: |
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| Children’s Insurance/benefits: |
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| Section 3 – Where Do You Get Information |
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| Where do you find, and how would you rate, the quality of information you have received regarding services for your child:
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| Do you feel that the information you have received has helped to improve your child’s development/education? |
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| Do you feel the information you have received has allowed you to make more informed/better decisions regarding your child’s services/care/education? |
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| How would you like to obtain information: |
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| If you would you like to receive information/training via workshops, please tell us when and how you would be able to participate: |
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| Describe training topics you would like: | | |
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| What else would you like to see in place that would help you with your information and support needs regarding your child? | | |
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| I have been informed of my parental rights under the Early Intervention program and/or Federal Special Education Law (Individuals with Disabilities Education Act) and been given a copy of procedural safeguards at least once per year in my native language. |
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| Questions on infant toddler programs (Part C) (if your child ever received services through the infant/toddler programs). |
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| How was your child referred for early intervention services? |
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| Were you made aware that there were other Early Intervention providers besides the agency you were referred to? |
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| Year child began receiving services: | | |
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| How long did it take from evaluation to receiving services? | | |
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| Year child transitioned to Preschool Special education: | | |
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| How strongly do you agree with the following statements:
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| If you strongly disagree with any statement above – why? | | |
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| In my experience with early intervention services, rate the following as to what needs improvement (leave blank if you don’t know or are not sure):
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| In the last year I have had to resolve a dispute with the agency providing services for my child: |
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| If so, how was the dispute resolved? | | |
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| Where do you go to get information on Early Intervention Services: |
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| I believe the early intervention system in Montana is providing the services and family supports that my child and family needs: |
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| Did you fill out a parent involvement questionnaire from your state in the last year? |
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| If you received and did not fill out a parent involvement questionnaire, why not? | | |
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| Are you aware of Montana’s annual Performance Plan? |
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| Section 4 - Special Education Services in School (includes preschool) - Part B Questions: |
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| How was your child referred for Special education services? | | |
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| Year child began receiving services. | | |
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| If you requested an evaluation, please estimate the time the request was made in writing to the time an evaluation was completed: | | |
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| How strongly do you agree with these statements?
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| If you strongly disagree with any of the statements above – why? | | |
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| Please rate the need for improvement in these special education areas in Montana (leave blank if you don’t know or are not sure):
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| If you chose other, please describe: | | |
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| If your child is 16 or older, have you participated in development of your child’s Transition Plan on the IEP? |
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| If you have developed a Transition plan, how do you rate it in meeting your child’s post school goals?
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| Within the last year I have requested: |
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| If you requested any of the above, how was it resolved? | | |
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| Where do you get data on State and local performance in special education? |
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| How would you rate the following statement:
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| The IEP team placed my child in a private school at district expense: |
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I know the results of the US Department of Education’s evaluation of my state’s compliance with special education law and regulations and have read the determination letter:
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Did you fill out a parent involvement questionnaire from the state in the last year?
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| If you received and did not fill out a parent involvement questionnaire, why not? | | |
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| Are you aware of the state’s Annual Performance Plan? |
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| Section 5 – Additional Questions |
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| For those of you in the Billings or Bozeman area that have participated in the Informative Pointing workshops with Heather Clare, please indicate if you would like to participate in additional workshops this fall: |
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| How would you rate this survey?
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