Parent Information Survey
Student’s Name: ____________________________
Parent / Guardian Name(s): ___________________________________
Home Phone Number: ______________ Cell Phone Number: ______________
Email (s):________________________________
I am in the process of updating / developing your child’s Individual Education Plan (IEP) for Term 1. In order to develop a plan that reflects your child’s unique and most current learning profile your input on the following questions is appreciated:
1. What are your child’s greatest strengths?
2. What are your child’s greatest needs?
3. What strategies have been used in previous years that have led to your child’s success?
4. What are some of your child’s favourite activities / special talents / interests inside and outside of school?
5. What are 2 - 3 main goals you would like to see as a focus for your child this year?
Functional Math and / or Literacy:
Social & Emotional / Communication:
Behavioural:
6. Are there any health concerns? allergies or food sensitivities, does your child take any daily medication at home but not at school?
7. Is your child involved in any outside agencies during the school year? (e.g., tutoring, Erin Oak Kids, PT, OT, Speech-Language Therapy, ABA/IBI, etc.). If so, what are their current goals and/or areas of focus?
8. Is there any other information that would help us gain a better understanding of your child?Triggers, frustrations, anxieties
Completed by:
Thank-you for your support and for taking the time to share this information!
Florence Meares Public School
Please return by October 2023