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The purpose of this survey is to connect with parents and guardians of students currently receiving disability services via Hickory Public Schools as well as public and private schools in Catawba, Caldwell, Burke and Alexander counties.  Respondents will have an opportunity to share important feedback that covers their awareness of resources, usage, perceived service gaps and hopes for the future of their students.  The survey is anonymous.  The resulting information will be used as part of a Community Enhancement Project for Individuals with Disabilities study which will assist leaders with information that may lead to initiatives aimed at having a positive impact on individuals with special needs in our region in the future. 

If you have more than one student receiving special education services, please complete the survey referencing the child receiving the most intervention.

INFORMATION ON HOW TO ENTER A DRAWING FOR PRIZES WILL BE AT THE END OF YOUR SURVEY!

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* 1. Does your student have a disability that qualifies them for special education services in the public school system?  If your answer is "no," please do not continue with the survey. 

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* 2. What is the age of your student receiving EC/special education services?

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* 3. Do you have more than one student receiving EC/ special education services, enrolled in school?

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* 4. If you answered "yes" to Question 3, what is the age of each individual student?  If you answered "no" to Question 3 please skip to Question 6. 

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* 5. If you answered "yes" to Question 3, what school does each student attend?  

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* 6. What is your student's race?

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* 7. If you have more than one student receiving services and their races differ, what is the race of your other student?

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* 8. What City/Town/County is your student a resident of?

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* 9. Are you the guardian of this student?

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* 10. Are you the grandparent, aunt, uncle, cousin or sibling of this student?

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* 11. Does the student live with you?

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* 12. Is your student deaf, or do they have serious difficulty hearing?  (Please answer for the student receiving the most services).

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* 13. Is your student blind, or do they have serious difficulty seeing, even when wearing glasses?  (Please answer for the student receiving the most services).

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* 14. Because of a physical, mental, or emotional condition, does your student have serious difficulty concentrating, remembering, or making decisions?  (5 years of age or older).  (Please answer for the student receiving the most services).

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* 15. Does your student have serious difficulty walking or climbing stairs?  (5 years of age or older).  (Please answer for the student receiving the most services).

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* 16. Does your student have difficulty dressing or bathing?  (5 years of age or older).  (Please answer for the student receiving the most services).

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* 17. Because of a physical, mental or emotional condition, does your student have difficulty doing errands alone such as visiting a doctor's office?  (15 years old or older).  (Please answer for the student receiving the most services).

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* 18. What school does your student attend?

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* 19. Are there adequate recreation opportunities, reasonably near your home, to meet your student's needs?

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* 20. Are there adequate opportunities, outside of school, for your student to develop friendships and socialize with peers?

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* 21. Which recreation/social opportunities have you found to be most beneficial to your student in the area?

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* 22. What recreation or social opportunities would benefit your student and do not currently exist in your area?

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* 23. What do you wish your community had available for your student?

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* 24. What prevents you from accessing recreational opportunities in the area?  Please check all that apply.

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* 25. Do you believe that your student would be interested in art activities if they were available?

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* 26. Do you believe that you are fully aware of all resources available to meet your student's needs?

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* 27. What is the primary way in which you get information on services, recreation and other opportunities specific to your student's needs?

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* 28. Do you experience any transportation challenges related to your student?

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* 29. What services, programs, supports, recreation opportunities, or accommodations do you believe are missing from your community or the region?

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* 30. Are you aware of adequate programs and resources for individuals with disabilities past high school?

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* 31. What prevents you from accessing services?

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* 32. What is the #1 challenge to the well-being of your student?

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* 33. As a parent/caregiver, where/how do you receive mental/emotional support?  Please check all that apply.

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* 34. What Town/City/County parks, facilities or services do you access most for your student?

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* 35. Where do you see your child in the future?  Please check what applies and share your thoughts.

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* 36. Thank you for participating in the survey!  To show our appreciation, you are invited to enter a drawing to win prizes sponsored by the City of Hickory and Catawba County Partnership for Children!  Would you like to enter?

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