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  5. PLUK Parent Survey 2012
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PLUK Parent/family Survey 2012
For parents, grandparents, and family members in Montana who have children who receive or have received services/accommodations in school (informally or through an IEP, 504, or healthcare plan).
The survey is available in electronic form at http://PLUKparents2012.questionpro.com

- 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, please complete a survey for each child.
- 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.

Plan on about 20 minutes to do the survey. There are about 50 questions.

Return paper surveys to: PLUK surveys, 516 N 32nd St, Billings MT 59101.
 
 
 
1. I would describe myself as a: (check all that apply)
 
Parent
 
Grandparent
 
Foster parent
 
Family member
 
Sibling
 
Educator
 
Professional
 
Service provider
 
Other
 

 
 
 
2. My ethnicity: (check all that apply)
 
American Indian
 
Hispanic
 
African American
 
Asian
 
Pacific Islander
 
Caucasian
 
Other
 

 
 
 
3. Household:
 
Single parent
 
Two parent
 
Other
 
 
 
 
4. Annual Household Income(approximate):
   
 
 
 
5. My child receives services/accommodations in school through the following plans?
 
Individualized Healthcare Plan (IHP)
 
Section 504 Plan
 
Individualized Education Plan (IEP)
 
Informal accommodations
 
Other
 

 
 
 
6. My child's age is in this range:
 
Birth to age 3 years
 
3 through 5 years
 
6 to 16 years
 
Over 16 years
 
Adult
 
Other
 

 
 
 
7. I would describe my child’s ethnicity as (check as many as needed):
 
American Indian
 
Hispanic
 
African American
 
Asian
 
Pacific Islander
 
Caucasian
 
Other
 

 
 
 
8. Enter the year your child is expected to graduate.
   
 
 
 
9. Describe briefly the services your child receives – home-based, school, medical, social, insurance, private therapies (PT, OT, SLA, ABA), other
   
 
 
 
10. Child’s disability. (check all that apply)
 
Unknown
 
Evaluation in process
 
At risk
 
Autism
 
Cognitive delay
 
Deaf-blindness
 
Deafness
 
Developmental delay
 
Emotional/behavioral disorder
 
Hearing impairment
 
Orthopedic impairment
 
Learning disability
 
Speech impairment
 
Traumatic brain injury
 
Visual impairment
 
Other delays
 
Other diagnosed physical or mental condition.
 
Other
 

 
 
 
11. Indicate all the services your child has received since birth: (check all that apply)
 
Individualized Family Service Plan (IFSP)
 
Individualized Healthcare Plan (IHP)
 
Individualized Education Plan (IEP)
 
Section 504 Plan
 
Title I
 
Developmental Disability services
 
Healthy Montana Kids
 
Medicaid
 
Social Security
 
SSI
 
Private Insurance
 
Autism waiver
 
Children’s Special Health Services
 
Rural Health clinic
 
Indian Health Service
 
Easter Seals
 
Private therapist
 
Mental health
 
Public assistance
 
Other

 
 
12. How would you rate the quality of information you have received regarding your child via:
Excellent Good Average Below Average Poor N/A
Internet
Friends
Other parents
Pediatrician
Other professionals
School
PLUK
Workshops
Conferences
Public Library
PTA
Support Group
Online course
 
 
 
13. Describe other ways you get information that benefits you and your child.
   
 
 
 
14. Do you feel that the information you have received has helped to improve your child’s development/education?
 
Yes
 
No
 
Not sure
 
Other
 
 
 
 
15. Do you feel the information you have received has allowed you to make more informed/better decisions regarding your child’s services/care/education?
 
Yes
 
No
 
Not sure
 
Other
 
 
 
 
16. How would you like to obtain information: (check all that you like)
 
Internet/websites
 
Texting
 
Newsletter
 
Phone
 
Connection with other parents
 
Workshops
 
Other

 
 
 
17. What else would you like to see in place that would help you with your information and support needs regarding your child?
   
 
 
18. How strongly do you agree with these statements?
Strongly Agree Agree Undecided Disagree Strongly Disagree
The teachers understand my child’s needs and how to implement services.
Teachers and administrators respect my cultural heritage.
The school district encouraged and facilitated my involvement in developing a plan for my child.
I was given information about organizations that support parents who have children with special needs.
I value the schools input concerning my child.
I communicate with my child’s teachers on a regular basis.
I understand my child’s special needs.
I understand what services are available to my child.
It was explained to me what options I have if I disagree with a decision of the school.
Students without special needs and their families have the opportunity to learn about students with special needs.
Strongly Agree Agree Undecided Disagree Strongly Disagree
My child has made progress in school because of supports/services received.
After school and extracurricular activities are available to my child.
My family participates in typical activities for children and families in my community.
My family’s quality of life has improved.
I am able to communicate effectively with the people who work with my child.
I participate in school sponsored activities.
I attend trainings relating to children with disabilities and their families.
 
 
 
19. If you strongly disagree with any of the statements above – why?
   
 
 
20. Please rate the need for improvement in these education areas in Montana (leave blank if you don’t know or are not sure):
Doesn't need 2 3 4 Needs improvement
Modifications and accommodations in the general education classroom (students with disabilities being given meaningful access to the general education classroom and curriculum).
Teacher training or quality
Assistive technology
Supplemental services (OT, speech, counseling, etc.)
Writing effective plans (IHP, Section 504, IEPs, etc.)
Implementing effective plans (IHP, Section 504, IEPs, etc.)
Evaluation
Dispute resolution (disagreements, complaints, due process)
Transportation
Transition from high school to the adult life
 
 
 
21. Any other areas needing improvement not listed above?
   
 
 
22. How would you rate the following statement:
Strongly Disagree Disagree Undecided Agree Strongly Agree
Montana is doing a good job educating students with disabilities.
 
 
 
23. Get it off your chest – Any comments you wish to add?
   
 

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