This free survey is powered by
QUESTIONPRO.COM
Create a Survey
Surveys
2011
October
E
Empower School
Empower School
Empower School : Market Survey
0%
Exit Survey »
Hello:
You are invited to participate in our market survey for Empower School . In this survey, people will be asked to complete a survey that asks questions about their child's needs. It will take approximately 5 minutes to complete the questionnaire.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.
Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Jothi Arun at 512-351-7837 or by email at the email address :
[email protected]
Thank you very much for your time and support. Please start with the survey now by clicking on the
Continue
button below.
Your child's current educational placement is maximizing his/her potential
Agree
Neither Agree nor Disagree
Disagree
How would you best describe your child's spontaneous functional language?
Single words
2-3 word combinations
6-7 word combinations
Other
Select your child's current grade level
Lower Elementary ( K - 2nd grade)
Upper Elementary ( 2nd grade - 5th grade)
Middle school ( 6th grade - 8th grade)
Does your current insurance cover individual ABA therapy?
yes
No
Not sure
Other
If Empower School opens up for enrollment , what would best describe your follow up action
Definitely Schedule a visit to learn about the programs
Might schedule a visit. Not sure
Not interested
Other
Email Address
Loading...
close
Loading...
Close
staticapp1.questionpro.net