VESID
2008-2009 PARENT QUESTIONNAIRE
ONLINE ORDER FORM

Office of Vocational and Educational Services for Individuals with Disabilities
The State Education Dept./The University of the State of New York/Albany, NY 12234


Instructions:

1. Please answer all questions. Do not leave any blank fields.
2. Do not over-order surveys. The quantities of surveys you request will be used to determine response rates. If you are unsure how many surveys you need to order for your district, click on the Survey Calculator.

If you experience technical difficulties with this web site or with any of the online surveys, please contact Stephan Mankowsky of CyberData, Inc. at (516) 942-8000 ext. 307 for assistance.

Part I: Contact Information

Please provide the following information regarding the person filling in this form so that we may contact you if any clarification of this information is required.

Surveys ordered by:

Mr. Mrs. Ms. Dr.
Name
Phone
Ext.
Fax
Email


Part II: Stakeholder Review (Distribution & Demographics)

Please provide the following information regarding the school district participating in this survey and the name of the individual to whom the surveys will be shipped.

Surveys ordered for:
District

Send the surveys I am ordering to the attention of:

Mr. Mrs. Ms. Dr.
Name
Title
School or Bldg Name
Address
City, State Zip
,
Phone
Ext.
Fax
Email


Part III: Ordering Parent Surveys

This survey is available in multiple languages. The default/standard version is in English and Spanish. Please order the other language options only when necessary.

Important! Do not over-order surveys. The quantities of surveys you request will be used to determine response rates. If you are unsure how many surveys you need to order for your district, click on the Survey Calculator.

Language
Quantity
English/Spanish
English/Chinese
English/Russian
English/Haitian Creole
English/Urdu
English/Bengali
English/Korean
English/Arabic




© 2008 New York State Education Department. Survey services provided by CyberData, Inc.