Evanston CASE Survey
This survey is intended to assist us in improving our services and advocacy efforts in the Evanston community.  Your personal survey results and contact information will be kept confidential.
 
1.
Do you have a child with special needs in Evanston/Skokie School District 65, ETHS District 202 or a private school?  Select all that apply.
D65
D202
Private School
I am a private therapist
I am an interested community member
I am a school staff member
Other  
2.
How did you first hear about Evanston CASE?  Select all that apply.
Community flyer
School email
Friend
Private therapy professional
School personnel
Other  
3.
Have you visited our website? 
Yes
No
4.
What did you find useful about the website content?
Special education rights information
Announcements
Newsletters
Links
Other  
5.
Do you read the On the CASE monthly newsletter?
Yes
No
6.
What type of information do you find most useful in the On the CASE newsletter?
Information about School District issues
Articles
Information about programs and services
Advocacy Alerts
Other  
7.
Have you ever attended a Parent Connections meeting?
Yes
No
8.
If you haven't attended a Parent Connections meeting, what prevented you?
Date
Time
Location
Lack of childcare
Topic wasn't relevant
I didn't know about Parent Connections
Other  
9.
What topics or presentations would you like us to offer at Parent Connections meetings?
 

350 characters left.
10.
If Parent Connections was a support group, rather than a topic focused meeting, would you be more or less likely to attend?
More likely
Less likely
I would never attend
  • Comment:

  • 500 characters left.
11.
Do you have any concerns about the special education services your child receives at school?
 

1000 characters left.
12.
What issues would you like to see our advocacy efforts focus on in the coming school year?
 

350 characters left.
13.

Would you be willing to pay a nominal membership fee to receive our newsletters and support our operating costs?

Yes
No
14.
If yes, what would be a reasonable fee?
$10 a year
$20 a year
Other  
15.
Please enter the information indicated below.  This information will be kept confidential and will only be used for internal purposes. 

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Email Address:
emailaddress@xyz.com
Child's School (1):
Child's School (2):
Child's School (3):
How did you learn about CASE?:

Thank you for taking the time to complete our survey.  We greatly appreciate your feedback.