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Please complete the following demographic information.  It will be used for research purposes and cross-referencing survey responses.  Your name and e-mail address are optional. All information submitted will remain confidential.

1. Name (optional):

2. E-mail address (optional):

3. Birthdate: (Your birth date MUST be entered! The information will be known only to you.)

4. Primary Education Focus:

   	General Education
   	Special Education
   	Both

   Comments:
   (optional, maximum 200 characters)

5. Are you a first year teacher?

   	Yes
   	No

   Comments:
   (optional, maximum 200 characters)

6. Primary Role: (Please pick one)

   ------ Select One ------Building AdministratorDistrict AdministratorISD AdministratorResource Room TeacherClassroom Teacher - Center Based ProgramClassroom Teacher - Inclusive SettingClassroom Teacher - General EducationClassroom Teacher - Co-TeachingTeacher ConsultantOther (Please describe)

   Comments:
   (optional, maximum 200 characters)

7. Please indicate the number of years in your current position.

   	0-5
   	6-10
   	11-15
   	16-20
   	more than 20

   Comments:
   (optional, maximum 200 characters)

8. Total number of years in General Education:

   	0-5
   	6-10
   	11-15
   	16-20
   	more than 20

   Comments:
   (optional, maximum 200 characters)

9. Total number of years in Special Education:

   	0-5
   	6-10
   	11-15
   	16-20
   	more than 20

   Comments:
   (optional, maximum 200 characters)

10. I have experience with the following state assessments: (Please check all that apply)

    	MI-Access Functional Independence
    	MI-Access Supported Independence
    	MI-Access Participation
    	MEAP-Access
    	MEAP
    	MEAP with assessment accommodations
    	MME
    	MME with assessment accommodations
    	ELPA

    Comments:
    (optional, maximum 200 characters)

11. I am a member of a MI-Access Content Advisory Committee and/or Sensitivity Review Committee. (Please check those which apply)

    	MI-Access Content Advisory Committee
    	MI-Access Sensitivity Review Committee

    Comments:
    (optional, maximum 200 characters)

12. I am a member of a MI-Access Assessment Plan Writing Team.

    	Yes
    	No

    Comments:
    (optional, maximum 200 characters)

MI-ACCESS PARTICIPATION

If you did not administer any part of the MI-Access Participation Assessment 

skip to question #24.

MI-Access Participation English Language Arts

13. Did you encounter any problems when administering the MI-Access Participation English Language Arts assessment?

    	Yes
    	No

    Comments:
    (optional, maximum 200 characters)

14. The Participation English Language Arts assessment items, that required you to present pictures paired with words, went well.

    	Strongly Agree
    	Agree
    	Undecided
    	Disagree
    	Strongly Disagree
    	No Opinion

    Comments:
    (optional, maximum 200 characters)

15. Were any of the Participation English Language Arts items difficult to administer during your regular classroom schedule?

    If yes, please explain

    	Yes
    	No

    Comments:
    (optional, maximum 200 characters)

MI-Access Participation Mathematics

16. Did you encounter any problems when administering the MI-Access Mathematics assessment items?

    	Yes
    	No

    Comments:
    (optional, maximum 200 characters)

17. Were any of the Participation Mathematics items difficult to administer during your regular classroom schedule?

    If yes, please explain.

    	Yes
    	No

    Comments:
    (optional, maximum 200 characters)

MI-Access Participation Science

18. Did you encounter any problems when administering the MI-Access Participation Science assessment items?
    If yes, please explain

    	Yes
    	No

    Comments:
    (optional, maximum 200 characters)

19. Were any of the Participation Science items difficult to administer during your regular classroom schedule? If yes, please explain.

    	Yes
    	No

    Comments:
    (optional, maximum 200 characters)

MI-Access Participation English Language Arts, Mathematics and Science

20. Was the booklet format easy to use? 

    If no, please explain.

    	Yes
    	No

    Comments:
    (optional, maximum 200 characters)

21. What did you like BEST about the MI-Access Participation English Language Arts,  Mathematics, and/or  Science assessments?

22. What did you like LEAST about the MI-Access Participation English Language Arts,  Mathematics, and/or  Science assessments?

23. Other Comments?

MI-ACCESS SUPPORTED INDEPENDENCE 

If you did not administer any part of the MI-Access 

Supported Independence Assessment skip to question #35.

 
MI-Access Supported Independence English Language Arts

24. Did you encounter any problems when administering the MI-Access Supported Independence English Language Arts assessment?

    If yes, please explain.

    	Yes
    	No

    Comments:
    (optional, maximum 200 characters)

25. The Supported Independence English Language Arts assessment items, that required you to present pictures paired with words, went well.

    	Strongly Agree
    	Agree
    	Undecided
    	Disagree
    	Strongly Disagree
    	No Opinion

    Comments:
    (optional, maximum 200 characters)

26. Were any of the Supported Independence English Language Arts items difficult to administer during your regular classroom schedule?

    If yes, please explain.

    	Yes
    	No

    Comments:
    (optional, maximum 200 characters)

MI-Access Supported Independence Mathematics

27. Did you encounter any problems when administering the MI-Access Supported Independence Mathematics assessment items?

    If yes, please explain

    	Yes
    	No

    Comments:
    (optional, maximum 200 characters)

28. Were any of the Supported Independence Mathematics items difficult to administer during your regular classroom schedule?

    If yes, please explain.

    	Yes
    	No

    Comments:
    (optional, maximum 200 characters)

MI-Access Supported Independence Science

29. Did you encounter any problems when administering the MI-Access Supported Independence Science assessment items? If yes, please explain

    	Yes
    	No

    Comments:
    (optional, maximum 200 characters)

30. Were any of the Supported Independence Science items difficult to administer during your regular classroom schedule? If yes, please explain.

    	Yes
    	No

    Comments:
    (optional, maximum 200 characters)

MI-Access Supported Independence English Language Arts,  Mathematics, and Science

31. Was the booklet format easy to use? 

    If no, please explain.

    	Yes
    	No

    Comments:
    (optional, maximum 200 characters)

32. What did you like BEST about the MI-Access Supported Independence English Language Arts, Mathematics, and Science assessments?

33. What did you like LEAST about the MI-Access Supported Independence  English Language Arts, Mathematics, and  Science assessments?

34. Other comments?

MI-ACCESS FUNCTIONAL INDEPENDENCE ENGLISH LANGUAGE ARTS

If you did not administer the Functional Independence English Language Arts Assessment, skip to question #39.

35. Did you encounter any difficulties when administering the MI-Access Functional Independence English Language Arts assessment(s)?

    If yes, please explain.

    	Yes
    	No

    Comments:
    (optional, maximum 200 characters)

36. What did you like BEST about the Functional Independence English Language Arts assessment(s)?

37. What did you like LEAST about the Functional Independence English Language Arts assessment(s)?

38. Other Comments?

MI-ACCESS FUNCTIONAL INDEPENDENCE MATHEMATICS

If you did not administer the Functional Independence Mathematics Assessment, skip to question #43.

39. Did you encounter any difficulties when administering the MI-Access Functional Independence Mathematics assessment(s)?

    If yes, please explain.

    	Yes
    	No

    Comments:
    (optional, maximum 200 characters)

40. What did you like BEST about the Functional Independence Mathematics assessment(s)?

41. What did you like LEAST about the Functional Independence Mathematics assessment(s)?

42. Other Comments?

MI-ACCESS FUNCTIONAL INDEPENDENCE SCIENCE

43. Did you encounter any difficulties when administering the MI-Access Functional Independence Science assessment(s)? If yes, please explain.

    	Yes
    	No

    Comments:
    (optional, maximum 200 characters)

44. What did you like BEST about the Functional Independence Science assessment(s)?

45. What did you like LEAST about the Functional Independence Science assessment(s)?

46. Other Comments?

MI-ACCESS 2009/2010 COORDINATOR AND ASSESSMENT ADMINISTRATOR MANUAL

47. Did you receive a copy of the MI-Access 2009/2010 Coordinator and Administrator Manual?

    	Yes
    	No

    Comments:
    (optional, maximum 200 characters)

48. What did you like BEST about the 2009/2010 Coordinator and Assessment Administrator Manual?

49. What did you like LEAST about the 2009/2010 Coordinator and Assessment Administrator Manual?

50. Other comments regarding the 2009/2010 Coordinator and Assessment Administrator manual?

Thank you for taking the time out of your busy schedule to provide the MDE your feedback related to the MI-Access Participation, Supported Independence, and Functional Independence Fall 08 assessments.  Your feedback will help us in making any needed revisions to the assessment materials for the Fall 2009 assessments.