Parent Transition Survey

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Parents, please complete this form to the best of your ability. Your child has or will be completing a very similar survey/interview in school with me. This information is very helpful in planning and writing the transition portion of your child’s IEP, which looks at future programming for your child. When you are done, please hit the submit button at the bottom of the survey. As always, if you have any questions or concerns, please feel free to contact me.

Parent Name *

Your Child's Name *

Date *

YYYY

Child's grade in school *

What places in the neighborhood and community does your son/daughter travel ALONE? *

What places in the neighborhood and community does your son/daughter travel with OTHERS? *

Does your child exhibit any inappropriate behaviors when he/she is out in public places? If yes, please explain. *

Does your child eat with your family in restaurants? (Pre-COVID) *

Yes

Other:

Which of the following community based skills would you consider as important for the school to currently develop (select as many choices as you'd like) *

eating appropriately in public

social skills and good manners

ordering foods at fast food and regular restaurants

developing purchasing skills

safety, such as: when to cross the street, what to do when lost, etc.

using various modes of transportation

grocery shopping

using vending machines

using community services (i.e. bank, post office, etc.)

Other:

Required

What are your child’s strengths (things he/she are good at) in school? *

What are your child’s weaknesses (things he/she are not good at) in school? *

What are your child’s strengths outside of school? *

What are your child’s weaknesses outside of school? *

What does your child need help with at school? *

What does your child like to do in his/her free time (interests/clubs/sports/etc.) *

What does your child want to do after graduating from high school? *

Does your child plan to go to the vocational school in high school? Yes or No. If so, what does he/she plan to study? *

Does your child plan to go to college? Yes or No. If so, what does he/she plan to study in school? *

After graduation, does your child plan to live on his/her own home or with you (parents)? *

What are your goals for your child after high school? *

Is there anything else that you would like to share about your child in regards to looking at planning for his/her future? *

Parent Initials *

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