Please complete this survey to assess your knowledge pre- and post- the professional development training you are participating in. Please complete this side of the survey, the Pre-Test, before this program starts. Complete the other side of this page, the Post-Test, at the end of the program. Return the survey to the envelope provided by the facilitator. Your responses will be used for research purposes to help us determine the value of this professional development and create training materials. Each part of the survey will take about five minutes. Participation is voluntary and anonymous and you may choose not to answer every question. Thank you for your feedback.
Current position:
[ ] Faculty [ ] Administrator [ ] Support Staff
[ ] K-12 teacher [ ] Employer [ ] Other: ______________
Gender: [ ] Female [ ] Male
Number of years, if any, of teaching experience: ___________________________________
Have you ever had a student with a disability in your class, program, or service?
Yes No Unsure
Do you have any colleagues, friends, or family members with disabilities?
Yes No Unsure
Do you have a disability?
Yes No Unsure
Check the box to indicate your level of confidence that in your class, program, or service area you are (before training) able to:
Very Confident Not at all Confident
Apply universal design principles and strategies.
[ ] [ ] [ ] [ ]
Use technology in a way that supports students with disabilities.
[ ] [ ] [ ] [ ]
Refer students with disabilities to appropriate campus resources.
[ ] [ ] [ ] [ ]
Meet legal obligations to students with disabilities.
[ ] [ ] [ ] [ ]
Make your course/service/program accessible to students with disabilities.
[ ] [ ] [ ] [ ]
What do you hope to learn in this program?
Check the box to indicate your level of confidence that in your class, program, or service area you are now able to:
Very Confident Not at all Confident
Apply universal design principles and strategies.
[ ] [ ] [ ] [ ]
Use technology in a way that supports students with disabilities.
[ ] [ ] [ ] [ ]
Refer students with disabilities to appropriate campus resources.
[ ] [ ] [ ] [ ]
Meet legal obligations to students with disabilities.
[ ] [ ] [ ] [ ]
Make your course/service/program accessible to students with disabilities.
[ ] [ ] [ ] [ ]
Will you implement elements of what you learned? [ ] Yes [ ] No
If yes, what will you implement?
Please describe the strengths and/or weaknesses of this professional development.
Suggest additional programs and materials that would be helpful for faculty and/or staff related to working with students with disabilities.