JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Parent Needs Assessment
Thank you for completing this needs assessment. The results will be used to determine which services the project will provide in the 2022-2023 school year. We look forward to serving you!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
In which county does your child attend school?
*
Escambia
Okaloosa
Santa Rosa
What describes your role?
*
Parent
Grandparent
Family Member
Legal Guardian
Other:
What grade level best describes your child/children?
*
Pre-school or pre-kindergarten (ages 3, 4 and 5, not yet in kindergarten)
Kindergarten - grade 5
Grades 6 - 8
Grades 9 - 12
Extended Program (ages 18-22)
Required
Where does your child receive services?
*
public school (includes charter schools)
private school
home school
My child receives services under an:
*
Individual Education Plan (IEP, for students with identified disabilities)
Educational Plan (EP, for students identified as gifted)
Both IEP and EP
What topics would you consider valuable (check all that apply)
*
Behavior strategies
Academic or instructional strategies
Stages of Child Development
Inclusion
Individual Education Plans (IEPs, for students with identified disability)
Individuals with Disabilities Education Act (Understanding IDEA law)
Community Resources
Early Childhood Intervention
Educational Plans (for students identified as gifted)
Parenting the Gifted Child
Parent Support Groups
Other:
Required
What type of training delivery or information sharing format would best meet your need?
*
Virtual
In-person
Self-paced (online)
How would you prefer to receive information?
*
Email
Phone call
Text message
When is the best time for you to attend trainings or events?
*
Mornings (anytime between 8:00 a.m. - 11:00 a.m.)
Lunch-n-Learn (11:15 a.m. - 12 noon)
Middday (between noon and 3 p.m.)
Afternoons (anytime between 4:00 p.m. - 7:00 p.m.)
I prefer training and information sharing to be virtual in an on-demand format.
Required
Which social media platforms do you use the most?
*
Twitter
Facebook
Instagram
Other:
Required
Please check all the FDLRS services you have used in the past:
*
I have not used services previously.
Child Find
Parent Trainings
Community Resources
Assistive Technology
Information
Production Lab
Required
If you have worked with us in the past, were you satisfied with those services?
*
I have not used services previously.
Yes
No
Do you have specific comments about the services provided?
Your answer
Did you have a positive experience with the FDLRS personnel who assisted you?
*
I have not used services previously.
Yes
No
Would you like to share any specific information about your experience with this staff member?
Your answer
Would you be willing to use FDLRS services in the future?
*
Yes
No
N/A
Would you recommend FDLRS services to other families?
Yes
No
N/A
Clear selection
What else would you like us to know?
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of School District of Escambia County.
Does this form look suspicious?
Report
Forms
Help and feedback
Help Forms improve
Report