Family/Guardian Questionnaire For Student I.E.P.
We look forward to working with you to address your child’s academic needs within a framework
that integrates his/her social and emotional well-being. We would like to hear from you about how
you see your child’s strengths, needs and interests.
Please answer the following questions and share some thoughts about your child. We will use this information when creating your child’s Individual Education Plan (IEP).

If you have a formal diagnosis we would appreciate you sharing this documentation with the school if you haven't already.

Lastly, please be aware that your son or daughter may occasionally be withdrawn for support throughout the school year.

***This survey will be CLOSED by FRIDAY, SEPTEMBER 23, 2022.

Lisa Osborn (Grade 7 SERT) and Nadima Mahamad (Grade 8 SERT)

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Email *
By providing an email address, you are giving me permission to communicate information using this email address. *
Parent/Guardian Name(s) *
Please provide a phone number that is best to contact you throughout the school day. *
Student's First Name *
Student's Last Name *
What grade is your child in? *
What homeroom is your child in? *
What are your child's strengths and interests ?
What does your child struggle with (weaknesses)?
Does your child advocate for their accommodations?
Is there any additional information (diagnosis, medication, social and emotional concerns) you would like to share?
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