Response to Intervention (RTI) - (copy)

Survey to determine the knowledge and needs of RTI within the district.

Name


A red asterisk (*) indicates required questions.


  1. At my school, the staff has received an overview of the RTI model, understands its general features, and knows how RTI differs from the traditional 'test discrepancy' approach.*
    Basic knowledge of this model
    Developing an awareness of this model
    Fully knowledgeable in this model


  1. Which tiers of RTI are being implemented at my site? Choose all that apply.*
    Tier 1 contains programs available to all students, such as class-wide tutoring.
    Tier 2 addresses the needs of students who show emerging deficits and includes individualized intervention plans designed by the school Invention Team.
    Tier 3 is the most intensive level of assistance available in the school (not counting special education).


  1. What types of universal screening(s) for academic skills are being used at my site? (i.e., DIBELS, Curriculum-Based Materials, teacher created pre- and post-tests). List all that apply.*


  1. At my school, the majority of the staff (80% or more) appears ready to give the RTI model a try, believing that it benefits teachers and students.*
    Yes
    No


  1. What types of universal screening(s) for behaviors are being used at my site? List all that apply.*


  1. Does my school have a student intervention team, or PLC, which provides interventions for struggling students? If yes, who is responsible for providing these interventions?*


  1. Does my school, or Intervention Team, collect background information/baseline data on the student to be used at the initial Intervention Team meeting (or SIT)? If yes, describe who provides this information and what type of information is presented.*


  1. Does my school staff use progress monitoring data to determine an interventions' effectiveness and to make modifications? *
    Yes
    No


  1. At my school, do staff other than teachers deliver interventions? If yes, please list those individuals.*


  1. At what stage is my school in RTI implementation?*
    Investigation
    Planning
    Piloting in a limited number of grade levels
    Effective working model schoolwide


  1. For which grades have you implemented RTI? Choose all that apply.*
    Kindergarten
    1st
    2nd
    3rd
    4th
    5ht
    6th
    7th
    8th
    9th
    10th
    11th
    12th
    We have not implemented RTI at my site


  1. For which subject areas have you implemented RTI? Choose all that apply.*
    Reading
    Math
    Behavior
    Writing
    Language
    Other
    None