Social Group

* What gender is your student?

* In the fall of 2017, in which grade will your student be enrolled?

In which environments does your student currently participate at school?

0%

100%

* mainstreamed in gen ed classes

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* gen ed classes with resource support

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* mainstreamed w/o support for electives

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* para / peer support for electives

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* extended resource room or staff only

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* If there was a local social group for teens with ASD, learning disabilities, special needs, or other medical issues, would your teen be interested?

To what degree would your teen enjoy the following types of activities in a social hangout environment?

How often would your teen attend a Social Hangout?

What would be your teen's availability for the Social Hangout?

What would be a reasonable cost?

$5

$120

1 2-hour session

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1 5-session package

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In which ways would you be willing to volunteer to make this program a success?

planning an activity for the session

participating on a committee

providing snacks or supplies

chaperoning sessions on a rotational schedule

sorry, I cannot volunteer in any way

Other (please specify)

Questions &/or suggestions...

I'm interested in learning more.

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