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Parent Survey

Parent Advisory
Families with Disabilities
Parent Survey

Please respond to the following statements. Select the option that most accurately reflects your experience with your child's education programs(s). Please answer all questions. Thank you!

* Required
4. Child's Grade Level
If you have more than one child receiving services, fill out the survey and answer the questions with only one child in mind. Please select the grade level of your child below:

5. Please check the box below that describes your child's educational programs/services.

6. Please select the answer that best describes your opinion to the following statements.

10. What are some topics you may be interested in learning more about? Please check all that apply below:

11. * Would you need childcare in order to attend the meetings?

Yes   No
12. What are good times for you to attend the meetings?

13. How often would you like to see the meeting occur? Please check all that apply:

14. * Are you interested in being a core team member of the Advisory Committee?


15. * For form security, please type the word: ALLOW in capital letters below.
  (Please be sure that the word is in capital letters)


PDF Version
  Parent Support Group Parent Survey

If you prefer, you may download and fill out the survey at: Parent Survey. You will need the Adobe Acrobat Reader to download this document. If you do not have this program, you may download it for free at: Adobe Acrobat Reader

Please mail the completed survey to:

Parent Advisory
c/o Parent Support Group
27315 152nd Ave E
Graham, WA 98338

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