Adult Student Questionnaire

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete the following form as completely and honestly as possible.

Email *

Name: *

What are your medical diagnoses and when were these received? *

Were you identified as gifted or diagnosed with high functioning autism or Asperger's syndrome first? *

gifted identification came first

diagnosis of HFA/Asperger's syndrome came first

Why do you feel you received the gifted (or high functioning autism/Asperger's syndrome) identification first and the high functioning autism/Asperger's syndrome (or gifted) identification second? *

How do you feel this timeline has affected your educational, social, and emotional experiences? *

Which characteristic behaviors and traits of giftedness, HFA, or Asperger's syndrome do you feel in yourself? *

When you describe yourself, which identity do you use (ex: I have Asperger's syndrome, I am gifted, etc.)? *

Which characteristic behaviors or traits has a psychologist, counselor, or teacher mentioned with respect to academic, social, or behavioral goals? *

What type of school do/did you attend (public, private, home school, etc.)? *

In which type of classroom(s) did you participate (inclusion, resource, gifted, etc.)? *

What services do/did you receive? (gifted, ESE, Speech and Language, etc.) *

What is your ethnicity? *

What is your age? *

What is your grade in school? (ex: senior, college freshman, etc.) *

How many siblings do you have? *

What are the ages of your siblings? *

What are your strengths? *

What are your areas of weakness/opportunity for growth? *

What are the characteristics of teachers who have been effective in meeting your needs? *

Is there anything else you would like me to know about you? *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of The School District of Lee County. Report Abuse

Forms