At Follow-Up Survey Template
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1
2Developed by: St. Vrain Valley School District
AT Follow-Up Survey
1. Assistive technology equipment provided is up and running/operational *
Yes
No
2. I feel adequately trained to use the assistive technology provided *
Agree
Somewhat agree
Disagree
3. The student is adequately proficient on the use of the assistive technology provided *
Agree
Somewhat agree
Disagree
4. The assistive technology provided is helping to ease the student's barriers to making progress on his/her
IEP goals *
Agree
Somewhat agree
Disagree
5. I have positive anecdotal and/or quantitative data to illustrate how the assistive technology is working to
support the AT/Communication Plan I helped develop during/shortly after the evaluation *
Agree
Somewhat agree
Disagree
6. Please provide 1-2 sentences which summarize how the assistive technology is being used and how it's
helping to support the student's IEP goals *
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0 votes
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