IEP Student Independent Living Survey

how much help do you need with personal hygiene tasks (e.g., brushing teeth, bathing, grooming)?

• No help needed

• I need a little help

• Someone does it for me

• 

Can the student complete basic household tasks (e.g., laundry, cleaning, cooking simple meals)?

• I can do it by myself

• I need a little help

• Others do it for me

• 

Do you understand and follow basic community safety rules (e.g., crossing streets, stranger awareness, emergency response)?

• I can do this by myself

• I need someone to help me

• I don't leave the house

Can the student navigate familiar locations independently (e.g., school, store, home) or with support?

Can the student identify money, make purchases, and understand basic budgeting concepts?

Does the student need support with making financial decisions or handling transactions?

Is the student able to use public transportation, school transportation, or other means of travel independently or with assistance?

What accommodations or skills need to be addressed to improve independent transportation?

Can the student communicate their needs and ask for help in different settings (e.g., home, school, community)?

Does the student understand their rights and responsibilities in advocating for themselves?