Inclusive Education Parent Questionnaire
Share your experiences and perspectives to help us improve inclusive education at our school.
Parent Name
*
First Name
Last Name
Relationship to the Student
*
Please Select
Mother
Father
Guardian
Other
Student Name
*
First Name
Last Name
Student Grade Level
*
Please Select
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Other
How would you rate your child's overall experience with inclusive education at this school?
*
1
2
3
4
5
Please indicate your level of agreement with the following statements:
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My child feels included in classroom activities.
1
2
3
4
5
Teachers provide necessary support for my child.
6
7
8
9
10
The school values diversity and inclusion.
11
12
13
14
15
My child receives appropriate accommodations.
16
17
18
19
20
I am informed about my child's progress.
21
22
23
24
25
What types of support services does your child receive? (Select all that apply)
*
Speech therapy
Occupational therapy
Physical therapy
Resource teacher support
Paraprofessional assistance
Counseling
No additional support
Other
How satisfied are you with the communication between the school and your family regarding your child's needs?
*
Very satisfied
Satisfied
Neutral
Dissatisfied
Very dissatisfied
What do you feel are the strengths of the school's inclusive education program?
What areas do you think could be improved in the school's approach to inclusion?
Additional comments or suggestions
Submit
Should be Empty: