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TimestampParent, Guardian or student completing form:StudentDate:What are the strengths of your child?What motivates your child?Are there areas of concern regarding your child that we should be aware of when he/she is at home?Please describe the areas of concern regarding your child that we should be aware of when he/she is at home.What techniques have you used to address the concern(s) noted above? Were they successful?Are there areas of concern regarding your child that we should be aware of when he/she is at school?Please describe the areas of concern regarding your child that we should be aware of when he/she is at school.What techniques have you used to address the concern(s) noted above? Were they successful?What is/are the most important goal(s) that you would like to see accomplished in the upcoming year?Is there any other information that we should know that would assist us in developing the IEP?
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7/21/2012 15:19:27Test Yes1Yes 17/21/2012Yes1Yes1YesYes1 homeYes1 HomeYesYes1SchoolYes 1 SchoolYes1Yes1
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7/21/2012 15:24:52No TestNo Test7/21/2012No TestNo TestNoNoNo TestNo Test
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7/21/2012 15:27:10Yes 2 TestYes 2 Test7/21/2012Yes 2 TestYes 2 TestYesYes 2 TestYes 2 TestYesYes 2 TestYes 2 TestYes 2 TestYes 2 Test
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7/21/2012 15:29:27Test4Test4Test4Test4Test4YesHomeHomeYesSchoolSchoolTest4Test4
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1/8/2013 7:39:43mm1/8/2013kjljadjafeYesewrereYesafdfaddfafdafd
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2/5/2013 12:44:28BobSuzy2/10/2013Good eaterfoodNoNommmmmmm
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