Teacher Questionnaire

In August I received a Teacher Questionnaire from Social Security Administration for the purpose of determining eligibility for a student that would soon be exiting special education services.  The survey requested that the student be compared to same age peers.  While faxing the survey along with all the other requested documents I thought about how more efficient it would be to convert the survey to a google doc form.  The actual survey requests frequency data and narrative responses in addition to a likert scale rating of 53 activities.  I have completed the conversion of the 53 activities.  I think this version of the Teacher Questionnaire can be used to identify needed specialized services, enhance collaboration through dialogue and be used to measure the effectiveness of services.  Please make a copy.