<p> Harry S Truman High School Student Transition Questionnaire Learning Support – Student Survey</p><p>General Student Information Name______Date of Birth______Grade______</p><p>Father’s Name______Mother’s Name______</p><p>I. Questions about How You Learn:</p><p>Why do you have an IEP? ______</p><p>What assistance do you need in school to help you learn? (Accommodations?)______</p><p>What is your biggest concern about school?______</p><p>II. Educational Goals: In what type of job/occupations do you see yourself working in five years after graduation from high school? ______</p><p>What do you want to study or train to be?______</p><p>What courses do you need to take this year in high school that will help you attain your employment and career goals?______</p><p>Upon graduation, I want to go on for future education/training:</p><p>______YES ______NO ______Undecided</p><p>If yes, please check each kind of post-secondary education or training that is of interest:</p><p>______4 year college ______Community College ______Technical/Trade School</p><p>______Military ______Not sure what training is needed for career of interest</p><p>III. Post Secondary Employment</p><p>1. What work do you plan to do when you graduate?______</p><p>______</p><p>2. What kind of jobs can you do? ______</p><p>______</p><p>3. Are there jobs that you do not like to do? If so, what are they? </p><p>______</p><p>4. Do you have work experience? ______If yes please list experience:______</p><p>______IV. Community Living after Graduation (Please check one from the list)</p><p>____ Live independently in an apartment or home</p><p>____ With family member (who?) ______</p><p>____ With support</p><p>____ Supervised apartment (which one?) ______Group home (which one?) ______</p><p>____ Other, please describe ______Check all that you know how to use: ____ hospital ____ post office ____ shopping malls</p><p>____ grocery store _____ bank _____ public transportation </p><p>V. Recreational and Leisure Options</p><p>A. Leisure Interest Inventory : Check all of the following activities you enjoy:</p><p>_____ swimming _____ lifting weights _____ skiing</p><p>_____ fishing _____ camping ______listening to music</p><p>_____ walking _____ bowling ____ watching TV</p><p>____ movies ____ ball games ____ caring for pets</p><p>____ Special Olympics _____ computer use</p><p>_____ other ______</p><p>VI. Transportation Options</p><p>How will you get around the community and to work? Please check each one that you will use.</p><p>Drive ______use bus transportation ______take a taxi ______ride a bicycle ______walk ______depend on other family members ______</p><p> other ______</p><p>Do you need training on how to use SEPTA ?______</p><p>VII. Agency Involvement – Which agencies are you currently involved with? ______</p><p>______</p><p>What is your biggest concern for your future? </p><p>______</p><p>______</p><p>Is there anything else we need to know about you to help you plan your future?</p><p>Thank you for helping us plan your future with you!!!</p>