Forms for Submission

Name

Your Full Name

Email

Provider Agency:

Date

Date Format 01/01/2000

1) Select the following criteria according to the ECTA Center that are used to determine if Outcomes are functional, SELECT "ALL" THAT APPLY:

(a) The Outcome integrates developmental domains and is discipline-free.

(b) The Outcome is written in technical language that is easily understood by other interventionist.

(c) The Outcome uses active words rather than passive words.

(d) The Outcome is necessary and functional for the child's and family's life.

2) What is ONE of the three key pieces of information that need to be used when developing IFSP Outcomes:

(a) Start with what you feel are the priorities about the child's learning/development and/or family's needs.

(b) Start with parents'/caregivers' priorities about the child's learning/development and/or family's needs.

(c) Consider first your opinions about how the family should change their routines/activities before asking the family what's working and what's challenging.

(d) Use only the test scores to determine the Outcomes, do not consider what has been learned during the evaluation and assessment.

3) What questions should be asked when determining a progress measurement, SELECT "ALL" THAT APPLY:

(a) What?

(b) When?

(c) How?

(d) Who?

4) What are the TWO types of data that can be collected?

6) List at least FOUR of the possible Data Collection Tools discussed in the training:

5) What should an interventionist do when the measurement listed on the IFSP no longer is relevant and requires updating?

(a) Nothing

(b) Contact the SC to discuss that the measurement is not longer relevant and provide the updated measurement to the SC to make the changes on the IFSP.

(c) Change the measurement and begin measuring using the updated measurement, update the SC at the annual which is in six months.

(d) Notify the family only of the change in measurement.

7) In Chester County, Interventionist complete/submit their quarterly progress reports using the __________ software?

(a) Excel

(b) Formatta

(c) Word

(d) None

8) When are the 3, 6, 9 months quarterly progress reports due to the assigned SC (completed and signed off by the agency reviewer)?

(a) The actual date the quarterly report is due to be completed.

(b) Two months in advance to my agency

(c) When I'm able to get it done.

(d) Two-Weeks prior to the quarterly due date.