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Listen and Collaborate

 
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     English Version One
     Pack of 10 Questionnaires

      Spanish Version One
     Pack of 10 Questionnaires

     English Version Two
     Pack of 10 Questionnaires

      Spanish Version Two
     Pack of 10 Questionnaires

 

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Click on each image to take a closer peek.

Shown here are a sample page from the questionnaire that has been completed by a parent and a sample page from an IEP.  The teacher used information gathered from the questionnaire to create long and short term goals.   At intervals of time throughout the year, the team may revisit the information gathered to demonstrate the student's growth and progress toward the IEP goals.  Each version that the buyer receives is printed on brightly colored paper for quick access from within the individual's notebook.

Topics included in Questionnaires:

  • Contact information
  • Expressive/Receptive Communication
  • Safety
  • Play/Leisure
  • Social Development


  • Self-help
  • Routines
  • Physical Development
  • Medical Information
  • Long Term Goals

 

Listen and Collaborate is a parent questionnaire in both English and Spanish, which aids parents in sharing their invaluable insights into their child’s learning. Parents share in program planning, experience feelings of partnership, and learn how to advocate for their children’s learning needs. Teachers benefit by better understanding their students’ best learning style, helping students’ transitions to new classrooms or placements, and fostering connections and communication with families.
Two versions: Preschool/elementary (version 1) or Adolescent/Adult (version 2)

 

About the Authors

 

Laurie Eckenrode, Pat Fennell, and Kathy Hearsey are former teachers of students with special needs.  Much of their work has been serving in different capacities for Division TEACCH.  Laurie taught in an exemplary structured teaching classroom, which she developed, and which served as a TEACCH training model.  She now uses this expertise in her work as a preschool itinerant teacher/consultant.  Pat served as a psychoeducational therapist with the Chapel Hill TEACCH Clinic.  Kathy continues her work as a TEACCH therapist and was a former director of the TEACCH’s supported employment program.  The three authors have extensively trained parents and professionals in structured teaching methodology and have won many awards for their achievements in the field of special education.  Together, Laurie, Pat, and Kathy have over 65 years of experience working with exceptional children and adults.

 

Reviews

 

Thea Gardner
Parent of an adult son with autism

Listen and Collaborate is a great tool.  It is very organized and family-friendly beginning with questions about lower level skills in a variety of areas then working up to questions about more complicated skills.  The summary part at the end will be a good way for the professionals to review the information to see what to include in the child's program.   The completed document will be a big help to parents trying to explain their children to new staff working with them.

 
 
 

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