CPAC Satisfaction Survey « Connecticut Parent Advocacy Center

Please answer the following questions if you received individual support from a CPAC Parent Consultant. If you have not received individual support, but have attended a workshop, please skip ahead to the next section.

1. How useful was the information you received from CPAC?

2. CPAC provided me with the information I needed to make decisions about my child's education.

3. Because of the information that I received from CPAC, I am more knowledgeable about how to work with schools.

4. My child has received more appropriate services because I have put to use the information that I received from CPAC.

5. Because of the information that I received from CPAC, I was able to work with the school to address a critical need related to my child's education.

6. To what extent have you shared the information you received from CPAC?

7. Additional Comments:

Please answer the following questions in regards to the CPAC workshop (or workshops) that you have attended. If you have not attended any workshops, please skip to the next section.

8. How useful was the information you received from the workshop?

9. The materials I received were of high quality.

10. The workshop provided me with the information I needed to make decisions about my child's education.

11. Because of the information I received at the workshop, I am more knowledgeable about how to work with schools.

12. My child has received more appropriate services because of the information that I received at the workshop.

13. Because of the information I received at the workshop, I was able to address a critical need related to my child's education.

14. To what extent have you shared the information you received from the workshop?

15. Additional Comments:

Thank you for participating in the survey and helping us continue to provide you with the information and support that you need to advocate for your child. Please take a moment to give us a little information about yourself. If you have any questions about this survey, feel free to contact us at 800-445-2722 or via email at cpac@cpacinc.org.

Contact Information:

Name:

Company:

Street Address:

City:

State:

Zip Code:

Email Address:

Telephone:

Child's Information:

Child's Disability:

Child's Age:

Grade Level:

Gender: