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AER Early Childhood Vision Services
Please answer this brief survey as it relates to your state of residence and the agency you represent. Then please send the survey to your surrounding states so their information can be collected, too.
Questions regarding the survey should be addressed to Kathy Mullen (kmullen@vips.org).
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In what state or states are your services offered?
Your answer
What are the certification requirements of your agency's providers (certified Teacher of the Visually Impaired, early childhood special education certification, associates degree, certified Orientation and Mobility Specialist, etc.)?
Your answer
Please check all services provided by your agency.
Early intervention vision
Early intervention O&M
Preschool
Preschool consultation
O&M services for preschoolers
Trainings
Family support services
Please select the best description of your agency's scope of services:
Regional
Within a 30 mile radius of your center
Within a 50 mile radius of your center
Greater than 50 miles of your center
Statewide
Please check all funding sources secured by your agency.
State contract
Fee for services through state early intervention program
Public school contracts
Service provided under the state school for the blind
Grants
Fundraisers
Contributions
Foundations
Other:
Does your agency provide early intervention services?
Yes
No
Option 3
Clear selection
If you answered no to the last question, why does your agency not provide early intervention services?
Your answer
Does your state provide vision-specific early intervention services or general intervention only?
Vision specific by a certified provider
Developmental intervention by a generalist
Other:
Clear selection
What is your state's/states' hourly reimbursement rate for early intervention services?
Your answer
What is the contact information for your state's/states' early intervention program?
Your answer
Do you feel services across your state are equitable between urban and rural settings?
Yes
No
Option 3
Clear selection
Do the services in your state meet the current needs of the population of young children who are blind/low vision living there?
Yes
No
Other:
Clear selection
Does your state use a vision-specific curriculum? If yes, please name the curriculum in the following question/answer.
Yes
No
Clear selection
Do you have more to add?
Your answer
May we contact you for further information? If yes, please share your contact information.
Your answer
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