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Accommodation Fundamental Alteration Questionnaire
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Response
First Name
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MI
Last Name
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Email
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For what course are you completing the survey? (Example: REL 130 001)
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Student
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Student ID#
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Does the accommodation(s) fundamentally alter your course?
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Does the accommodation(s) fundamentally alter your course?
Yes
Does the accommodation(s) fundamentally alter your course?
No
What accommodation(s) fundamentally alters your course?
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Complete. Thank you.
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Is your course lecture, discussion or highly interactive?
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Is your course lecture, discussion or highly interactive?
Lecture
Is your course lecture, discussion or highly interactive?
Discussion
Is your course lecture, discussion or highly interactive?
Highly Interactive
What percent of class is discussion, student lead or interactive?
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Current Rating:
No Stars
No Stars
1 Star
2 Stars
3 Stars
4 Stars
5 Stars
Do you have group work?
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Do you have group work?
Yes
Do you have group work?
No
Check all that apply
In class
Out of class
Is there specialized equipment needed?
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Is there specialized equipment needed?
Yes
Is there specialized equipment needed?
No
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Can the student access the equipment when not in class?
Yes
No
Is there any lab, clinical, internship, externship or practicum work for the class?
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Is there any lab, clinical, internship, externship or practicum work for the class?
Yes
Is there any lab, clinical, internship, externship or practicum work for the class?
No
Please describe this work:
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How do students turn in assignments?
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Online or Paper Form
How are you giving tests?
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Online or In Class Paper Form
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