Parent Interview Protocol for IEP Planning

Child's Name: _______________________	Date: __________________
School/School Year: __________________	Grade: _________________
Parent(s) Names: _____________________	Teacher: _______________
1.     How would you like to see your child progress in school this year? ___________________________________________________________ ___________________________________________________________
2.     What are your child's strengths?  ___________________________ ___________________________________________________________ ___________________________________________________________
3.     What interests does your child have?  _______________________ ___________________________________________________________ ___________________________________________________________
4.     What suggestions do you have for working with your child?  _____ ___________________________________________________________ ___________________________________________________________
5.     What else would you like us to know about your child? Special concerns? ___________________________________________________________ ___________________________________________________________
6.     Things I would like to see continued in my child's education program ___________________________________________________________ ___________________________________________________________
7.     Things I would like to see changed in my child's education program ___________________________________________________________ ___________________________________________________________