Least Restrictive Environment Survey by Eric Sorenson

My child has academic and/or behavioral management needs that interfere with the instructional process.

My child does not have academic and/or behavioral management needs that interfere with the instructional process.

My child has academic and/or behavioral management needs that require additional adult support is needed to engage in learning.

My child does not have academic and/or behavioral management needs that require additional adult support is needed to engage in learning.

My child has academic and/or behavioral management needs that require specialized/specially designed instruction.

My child does not have academic and/or behavioral management needs that require specialized/specially designed instruction.

My child has academic and/or behavioral management needs which can best be accomplished in a self-contained setting.

My child does not have academic and/or behavioral management needs which can best be accomplished in a self-contained setting.

My child’s severe and chronic management needs require intensive constant supervision.

My child’s severe and chronic management needs do not require intensive constant supervision.

My child’s severe and chronic management needs require a significant degree of individualized attention.

My child’s severe and chronic management needs do not require a significant degree of individualized attention.

My child’s severe and chronic management needs require intervention.

My child’s severe and chronic management needs do not require intervention.

My child’s severe and chronic management needs require intensive behavior management.

My child’s severe and chronic management needs do not require intensive behavior management.

My child’s severe and chronic management needs require additional adult support.

My child’s severe and chronic management needs do not require additional adult support.

My child has very high needs in most or all need areas, including academics.

My child does not have very high needs in most or all need areas, including academics.

My child has very high needs in most or all need areas, including social and/or interpersonal development.

My child does not have very high needs in most or all need areas, including social and/or interpersonal development.

My child has very high needs in most or all need areas, including physical development.

My child does not have very high needs in most or all need areas, including physical development.

My child has very high needs in most or all need areas, including management.

My child does not have very high needs in most or all need areas, including management.

My child's behavior is characterized as aggressive.

My child's behavior is not characterized as aggressive.

My child's behavior is characterized as elf-abusive.

My child's behavior is not characterized as elf-abusive.

My child's behavior is characterized as extremely withdrawn.

My child's behavior is not characterized as extremely withdrawn.

My child has severe difficulties in the acquisition and generalization of language.

My child does not have severe difficulties in the acquisition and generalization of language.

My child has severe difficulties in the acquisition and generalization of social skill development.

My child does not have severe difficulties in the acquisition and generalization of social skill development.

My child requires very intense individual programming to engage in all tasks.

My child does not require very intense individual programming to engage in all tasks.

My child requires continual adult supervision, to engage in all tasks.

My child does not require continual adult supervision, to engage in all tasks.

My child requires a specific behavior management program to engage in all tasks.

My child does not require a specific behavior management program to engage in all tasks.

My child requires a program of speech/language therapy (which may include augmentative/alternative communication).

My child does not require a program of speech/language therapy (which may include augmentative/alternative communication).

My child has severe and multiple disabilities with limited language.

My child does not have severe and multiple disabilities with limited language.

My child has severe and multiple disabilities with limited academic functioning.

My child does not have severe and multiple disabilities with limited academic functioning.

My child has severe and multiple disabilities with limited independent functioning.

My child does not have severe and multiple disabilities with limited independent functioning.

My child requires a program primarily of habilitation and treatment.

My child does not require a program primarily of habilitation and treatment.

My child requires a program including training in daily living skills.

My child does not require a program including training in daily living skills.

My child requires a program that includes the development of communication skills.

My child does not require a program that includes the development of communication skills.

My child requires a program that includes the development of sensory stimulation.

My child does not require a program that includes the development of sensory stimulation.

My child requires a program that includes the development of therapeutic interventions.

My child does not require a program that includes the development of therapeutic interventions.

What Ratio is you child in currently?

What is your relationship to the student under consideration?