SCHOOL ASD SURVEY

							                                              OUTREACH SERVICES

                                            SCHOOL ASD SURVEY
                                       (APPROXIMATELY 5 TO 10MIN TO COMPLETE)
The ever-increasing numbers of requests for visits by the Outreach Services team have necessitated the need for schools
to prioritise students and for the Outreach team to limit the numbers of visits within a particular school in order to be
equitable to the region as a whole. The School ASD Survey has been developed to assist the Outreach team in
prioritising the number of visits that a particular school within a region will be allocated. Further to this, it is hoped that
the information from the School ASD Survey will provide valuable information to support requests for funding and other
submissions aimed at enhancing services to children with ASD, their families and schools in regional Queensland.
Thank you for your time.

Name of the School:
Position, Name & Email of Person Completing Survey:
Total Number of Students in the School:
Statistics on Students with ASD:
Total number of students with ASD in the school:
ASD students who have been through EAP process or Ascertainment:
ASD students who are fully mainstreamed:
ASD students on part-time or managed attendance:
Access to Specialist Services:
Does the School have a Special Education Unit or Special Education Class?                                     Yes   /   No
Does the School have any Special Education Teachers?                                                          Yes   /   No
Is the School visited by an Advisory Visiting Teacher – ASD (AVT-ASD)?                                        Yes   /   No
Does the School receive support from a Speech Pathologist for students with ASD?                              Yes   /   No
Does the School receive support from an Occupational Therapist or a Physiotherapist for
students with ASD?                                                                                             Yes / No
Access to AQ Services:
Is the School aware of the services provided by Autism Queensland?                                            Yes   /   No
Does the School access AQ’s telephone consultancy service?                                                    Yes   /   No
Has the School accessed a consultancy visit from AQ’s regional team in the past?                              Yes   /   No
Have staff from the School attended one of AQ’s Workshops or other training?                                  Yes   /   No
Overall (considering both specialist and AQ Services), how would you rate the level of specialist
input that the school receives in relation to supporting its students with ASD?
   HIGH (The school is well supported)
   MODERATE (The school receives some support although meeting the needs of some students continues
   to prove challenging)
   LIMITED (The school has minimal access to specialist support)
   NONE (The school does not have access to external or internal specialist support)
Please indicate the type of support you would be interested in accessing from AQ if it was
available:



                     Supplementary Funding for Autism Queensland Outreach Services
                              is provided by the Non School Organisations