Student Questionnaire for IEP/ITP
Student Name:
Date of Birth:
Age:
Date:
Please respond to the following questions in preparation for your upcoming IEP meeting. Simple phrases are sufficient, no need to write in complete sentences.
1. What are your strengths?
2. What do you do for fun?
3. How would you describe your learning style?
4. Describe how you are doing in English. Do you have difficulty with reading and/or writing?
5. Describe how you are doing in Math. What’s easy and what is difficult?
6. Describe how you are doing in Science. What’s easy and what is difficult?
7. How are your typing skills?
8. How are your hand writing skills?
9. Do you play any musical instruments?
10. Tell me about your social group (Friends, family, do you get into trouble in/out of school)
11. Do you ever get stressed, frustrated or upset? If so, what strategies do you use to reduce your stress?
12. Do you take medications?
13. Do you have any health, vision, or hearing issues that your teachers should be aware of?
14. Do you have/plan on getting a driver’s license?
15. Have you taken any ROP classes? If so, did you receive a certificate?
16. Do you have or want a part-time job during the school year or summer? If so, what kinds of jobs interest you?
17. What are your plans for after high school?
18. What are some possible careers you might consider after high school?
19. Have you done any volunteer work or community service projects? If so, what have you done?
20. Do you use an agenda/planner?
21. Do you turn your work in on time?
22. Do you need help with tests or assignments?
23. Do you attend classes on time?
24. Do you use any accommodations for class work or exams? If so, which ones?
25. Is there anything else you would like to be included in your IEP so that teachers can help you to meet your individual needs?