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What is your age?
   
 
 
 
What is your gender?
 
Male
 
Female
 
 
 
Are you related to somebody with a disability?
 
Yes
 
No
 
 
 
Have you ever interacted with a person with a disability? If yes, please briefly explain how.
   
 
 
 
As a student, do you believe that accommodations for students with disabilities is fair? If not, explain why.
   
 
 
 
Have you ever been taught in a classroom that included disabled students? (Inclusion classroom)
 
Yes
 
No
 
 
 
As a student, do you understand why students with disabilities are given accommodations to help succeed in school?
 
Yes
 
No
 
 
 
What ethnicity do you identify with?
 
Caucasian
 
African-American
 
Hispanic
 
Asian/Pacific Islander
 
Other
 
 
 
 
How much schooling have you had?
 
Some High school
 
Diploma
 
GED
 
2-year college degree
 
4-year college degree
 
masters degree
 
PhD
 
post-doctoral degree
 
Other