Evaluation: IEP Facilitation Form Home Evaluation: IEP Facilitation Form IEP Facilitation Evaluation Please fill out the form below. Evaluation: IEP Facilitation - Accessible IEP Facilitation Meeting Date* MM slash DD slash YYYY Local Education Agency:* Name of Facilitator*Clymer BardsleyJean BieseckerCheryl CutronaEllen DeBenedettiBarry FellBarbara FoxmanThomas FrostNancy GiacominiLou Ann GrayJean LuparielloConstance LyttleVicki McGinleyGerald PowersJane RiglerJames SalemJanice SeidenfeldMarty Thomas-BrummeJudy TobeMax WaldYour Role*ParentFamily MemberLEA StaffAdvocateOther1) Please rate your overall experience with IEP facilitation.* Poor Fair Average Good Excellent Additional Comments.2) Please rate your overall experience with the facilitator.* Poor Fair Average Good Excellent Additional Comments.3) Please rate your overall experience with the coordination services provided by ODR.* Poor Fair Average Good Excellent Additional Comments.4) Do you have suggestions for improving the IEP facilitation services provided by ODR?*Thank You for providing feedback on your recent IEP Facilitation. Please scroll to the bottom of the page and press "submit"If you would like a representative from ODR to contact you to discuss this evaluation, please complete the following information.OPTIONALI would like to be contacted by a representative of ODR to discuss this evaluationYesNoName First Last Telephone Number(s)Telephone Number(s)Telephone Number(s)Best time to call CAPTCHA
