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child's problems or progress at <strong>school</strong>? Expla<strong>in</strong>.<br />

11. Have you ever attempted to talk with any <strong>school</strong><br />

representative ab<strong>out</strong> your child's special placement<br />

or need?<br />

Teacher, pr<strong>in</strong>cipal, or other? Expla<strong>in</strong>.<br />

(d) Sex<br />

Sheet 0-1<br />

CHILD ENROLLED IN NON REGULAR,<br />

SPECIAL SCHOOL<br />

1. (a) Name<br />

(b) Age (c) Birthday<br />

(e) Race<br />

2. What grade was child last enrolled <strong>in</strong>?<br />

3. Name <strong>of</strong> <strong>school</strong>?<br />

4. Public or Private?<br />

If Private: Parochial <strong>school</strong>?<br />

Religious affiliation?<br />

Other type <strong>of</strong> private <strong>school</strong>? Expla<strong>in</strong>.<br />

5. Where is <strong>school</strong> located?<br />

6. Does the child live at the <strong>school</strong>? Why?<br />

7. How long has child been enrolled at this <strong>school</strong>?<br />

8. Did any special need or condition cause the<br />

child's enrollment at the <strong>school</strong>? What?<br />

9. When did you first realize he/she had this special<br />

need?<br />

10. When did <strong>school</strong> <strong>of</strong>ficials realize it?<br />

11. Did they br<strong>in</strong>g it to your attention?<br />

12. Was the child given any tests before the child<br />

was put <strong>in</strong> this program?<br />

(a) Do you know what k<strong>in</strong>d <strong>of</strong> tests they were?<br />

(IQ, achievement, sight and hear<strong>in</strong>g)<br />

(b) Were you told ab<strong>out</strong> the test?<br />

If yes, before or after they were given?<br />

13. Have you ever seen the child's records or been<br />

denied access to them?<br />

14. Whose decision was it to put the child <strong>in</strong> this<br />

<strong>school</strong>?<br />

Parent!Adult<br />

School Officials<br />

Private or public agencies (name and expla<strong>in</strong>)<br />

Child<br />

Independent evaluator/doctor psychologist<br />

Other<br />

168<br />

Sheet 0-2<br />

15. How much <strong>in</strong>formation did you have ab<strong>out</strong> the<br />

<strong>school</strong> before the child was enrolled <strong>in</strong> it? Did<br />

you have any choice ab<strong>out</strong> where to send your<br />

child?<br />

16. Do you th<strong>in</strong>k the program the child is receiv<strong>in</strong>g<br />

is suitable for him?<br />

17. Do you th<strong>in</strong>k it has helped him? Expla<strong>in</strong>.<br />

18. Is your child on a wait<strong>in</strong>g list for any special<br />

program at this <strong>school</strong> or another <strong>school</strong>?<br />

Expla<strong>in</strong>.<br />

(a) If yes, how long has he been on list?<br />

19. In the past has the child ever been enrolled <strong>in</strong><br />

a special program at this <strong>school</strong> or another<br />

<strong>school</strong>?<br />

(a) If yes, what? Expla<strong>in</strong>.<br />

20. Do you know how many other <strong>children</strong> are enrolled<br />

<strong>in</strong> the special class or program? What is<br />

the racial and ethnic composition <strong>of</strong> the class,<br />

if you know it?<br />

21. Does the <strong>school</strong> provide extracurricular activities?<br />

What k<strong>in</strong>d?<br />

(a) Does the child participate <strong>in</strong> them?<br />

22. Have any <strong>of</strong> the child's teachers or other <strong>school</strong><br />

authorities suggested that the child should be<br />

given drugs or pills, prescribed by a doctor, for<br />

some problem at <strong>school</strong>?<br />

(a) If so, what k<strong>in</strong>d <strong>of</strong> drugs or pills?<br />

(b) Why did the <strong>school</strong> <strong>of</strong>ficial say such treatment<br />

might be needed?<br />

(c) Did the <strong>school</strong> <strong>of</strong>ficial suggest alternatives<br />

to the drugs or pills?<br />

(d) Did the <strong>school</strong> <strong>of</strong>ficial say the child might<br />

have to go i.nto a special class, another<br />

<strong>school</strong>, or be dismissed from <strong>school</strong> if he<br />

did not take the drugs or pills?<br />

(e) What did you do then? Did you take child<br />

to a doctor? What did the doctor say? Did<br />

he prescribe the drugs? What were they<br />

called? How <strong>of</strong>ten and how long did your<br />

child take them? Did you notice any effect<br />

<strong>of</strong> the drugs? Did the teacher or the other<br />

<strong>school</strong> <strong>of</strong>ficial tell you what effect the drug<br />

had?<br />

23. Who pays for your child attend<strong>in</strong>g the <strong>school</strong>?

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