Life After High School:

What is Transition and How Do I Do it?  

Workshop Evaluation

NH’s Parent Training & Information Center on Special Education                        Date:  _________________________

A Project of the Parent Information Center

Workshop Goal:  Improved understanding of the post-secondary transition planning process.

For each question, please check the box that best describes your experience:
		A Great Deal	Some		Very Little	Not at All
My understanding of the transition planning process has increased:
My understanding of the transition planning components of an IEP has increased:
The number of strategies that I have to help my child plan for transition  has increased:
My confidence in my ability to participate in the transition process has increased:
Please circle one response for each of the following questions:
	The workshop was of high quality:			Yes	No
	The workshop was relevant:			Yes	No
	The workshop was useful:			Yes	No
I will use the information I learned today by:			This workshop would have been more helpful to me if:
To better meet the needs of participants, we will contact a random follow-up sampling of people who attended this session to get feedback on how this workshop has helped you.  If you would like to be considered for a follow-up call, please provide the following information: Name:  _______________________________________      Telephone #: ____________________________      E-mail: _________________________________________________________________________________

Please complete other sideà

Please complete this section as thoroughly as you can.  Your responses will only be used for statistical/reporting purposes and will be kept in complete confidence.

Completing of this section is optional.

Are you a (please check only one):

_____ Student

_____ Parent

_____ Special Educator

_____ Regular Educator

_____ Other School Personnel

_____ Educational Surrogate Parent

_____ Individual with a Disability

_____ Other (specify _________________)

-----------------

_____ Total

Does your child have a disability?

If so, please check the most appropriate category (only 1 category for each child).

_____ ADD or ADHD

_____ Autism

_____ Developmental Delay

_____ Emotional Disability (ED or EBD)

_____ Health Impairment/Medically Fragile

_____ Hearing Impairment or Deafness

_____ Learning Disability (SLD)

_____ Mental Retardation

_____ Multiple Disabilities (none primary)

_____ Neurological Impairment

_____ Orthopedic Impairment

_____ Speech/Language Impairment

_____ Traumatic Brain Injury

_____ Vision Impairment or Blindness

_____ Suspected (undiagnosed disability)

_____ Other (specify _________________)

-----------------

_____ Total

Ethnicity:

_____ African American

_____ Asian

_____ Caucasian

_____ Hispanic

_____ Mixed Race

_____ Native American

_____ Pacific Islander

_____ Unknown

_____ Other (specify _________________)

-----------------

_____ Total

How old is your child with a disability?  Please check only 1 category for each child.

_____ Birth – 2

_____ 3 – 5

_____ 6 – 13

_____ 14 – 18

_____ 19 – 21

_____ Older than 21

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_____ Total

If you are an individual with a disability, please indicate your primary disability:

________________________________________________________________________

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