HCAS/SECAC ED Regional Program Listening Session
This survey is for parents and guardians of students currently in HCPSS regional ED programs.  Our goal is to provide support, facilitate advocacy with HCPSS, and to connect you with resources.  We will not share individual responses with HCPSS, but we may share combined information, for example, we might share that a certain percentage of respondents agreed that there was enough staff at their child's program.  There are 19 multiple choice questions followed by 4 questions where you can write as much or as little as you want.  If you prefer not to answer a question, you can select that option.  If you want to talk with someone about your experiences email beth.benevides@howard-autism.org
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1.  What level program is your child in?
Clear selection
2.  How long has your child been in an ED regional program? (include total time in any ED regional program)
Clear selection
3.  There are enough staff at my child's current regional ED program.
Clear selection
4.  Staff at the current regional ED program have the training and experience to help my child.
Clear selection
5.  I have a positive relationship with the staff in my child's regional ED program.
Clear selection
6.  My child's behavior has improved since they started in the ED regional program.
Clear selection
7.  The staff at the ED regional program are able to help my child calm themselves when they get upset.
Clear selection
8.  The staff at the ED regional program give my child adequate consequences or punishments.
Clear selection
9.  The staff at the regional ED program are teaching my child good coping strategies.
Clear selection
10.  My child is making the right amount of progress in reading and math in the ED regional program.
Clear selection
11.  My child is able to spend time with children who are not in a regional program at their school  (i.e., typical peers). 
Clear selection
12.  The appropriate placement for my child is:
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13.  My child has been physically restrained (staff held your child in a way that kept them from moving all or part of their body).
Clear selection
14.  Are the staff at your child's ED regional program using Ukeru with your child?
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15.  My child has been suspended from school.  (Please check all that apply).
16.  My community (school, neighbors, etc) understands my child's difficulties and supports us.
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17.  Please check all the organizations you have had contact with regarding your child.
18.  I need help with... (check all that apply)
19.  What is your child's primary disability (as listed on their IEP)?
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20.  What else would you like to tell us about your child, and what they need to be successful?
21.  What is working well with your child's ED regional program, or the things that work the best for your child?
22.  What things do you think should be improved in your child's ED regional program?
23.  What else would you like to tell us?
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