Emily Fisher Charter School 2008

SPECIAL EDUCATION PARENT SURVEY

At Emily Fisher we pride ourselves in providing students with an appropriate quality

educational program. In an effort to continually become better at serving students, we are
conducting a survey to gain valuable input from parents. As a parent of a student who is
eligible for special education and related services we are asking you to take a few minutes to
fill out this short survey. Please complete this survey and return it to the child study team at
Emily Fisher Charter School.

Please circle your answers with one of the following responses:

Y = Yes N = No DK = Don’t Know

I understand the reasons my child was referred for Special Education

1 services. Y N DK

2 The results of my child’s assessment were used to plan IEP goals. Y N DK

Information and any concerns I had about my child were considered
3 when planning and writing his/her IEP.
Y N DK
A variety of program options were discussed for my child at the IEP
4 meeting.
Y N DK
The IEP team discussed transition services (e.g., career interests,
5 employment, high school classes) at the most recent IEP meeting.
Y N DK

6 The services my child is receiving are in accordance with his/her IEP.

Y N DK
I receive a copy of your parental rights in special education (procedural
7 safeguards) at least one time per year. Y N DK
8 I speak a language other than English in my house most of the time. Y N DK
I speak a language other than English. If I request, I receive information
9 from the school in my native language. Y N DK
Upon request, the district provides a language interpreter for my child’s
10 IEP meeting. Y N DK
I am interested in joining a parental committee concerning students who
11 are eligible for special education and related services. Y N DK

On a scale of 0- 5 (0 - being poor and 5 - being excellent), please rate Emily

Fisher in each of the areas listed below. Please check the appropriate box.

0 1 2 3 4 5
12 The safety and security of the school.
13 Discipline at Emily Fisher Charter School.
The availability of teachers, staff, counselors, etc. to address concerns I
14 may have.
15 The availability for my child to meet with a school counselor.
The teachers' willingness to meet with me to discuss the progress of my
16 child.
17 My satisfaction with Emily Fisher’s efforts to communicate with me.
Your satisfaction with your with your child’s overall special education
18 program.
 Do you have any other concerns or information to share regarding your child’s Special
Education experience?
Please write your comments below.

19

The information below is optional; however, it would be helpful in case we need to follow-up
on any of the issues or questions that you may have.

Parent or Guardian Name:

Child’s Name:

Home Address:

Phone Number: (_____) ____________

E-mail address:

THANK YOU FOR TAKING YOUR TIME TO HELP US