Special Education Program Evaluation Form
Please provide your feedback to help us assess and improve our special education program. Your responses are confidential and valuable.
Evaluator Name
*
First Name
Last Name
Evaluator Role
*
Please Select
Special Education Teacher
General Education Teacher
School Administrator
Parent/Guardian
Support Staff
Other
Program Name or Description
*
Grade Level(s) Served
*
Pre-K
Elementary
Middle School
High School
Other
Number of Students in the Program
*
Please rate the following aspects of the program:
*
Rows
Excellent
Good
Fair
Poor
Instructional Quality
1
2
3
4
Student Engagement
5
6
7
8
Individualization of Instruction
9
10
11
12
Classroom Environment
13
14
15
16
Availability of Resources
17
18
19
20
How well does the program meet students' individual needs?
*
Not at all
1
2
3
4
Completely
5
1 is Not at all, 5 is Completely
Communication between staff and families is:
*
Excellent
Good
Fair
Poor
How would you rate student progress in this program?
*
1
2
3
4
5
What are the strengths of the special education program?
What areas could be improved?
Additional comments or suggestions
Submit Evaluation
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