INTERVIEW SCHEDULE FOR THE STUDENTS ~ Dr Manju Antil (Counselling Psychologist and Psychotherapist)

National Council of Educational Research and Training (NCERT), New Delhi

Department of Education of Groups with Special Needs(DEGSN)

Reasonable Accommodation for Children with Disabilities in Schools

INTERVIEW SCHEDULE FOR THE STUDENTS

Date : …../..…/….............

Place:……………………

Project Fellow…………………

Instructions: Please obtain information from the students through interview and fill up the blank areas with the relevant information. Please do Tick (√) whichever is applicable in the optional items, more than one option may be chosen. This information will be used for research purpose only. Complete confidentiality will be maintained for your responses.

PART-A

Name of the student:……………………………….Age:……… Gender: Male 1 Female 2
Students have:

Regular needs	1	Code
Special Needs	2	Nature
		Severity

Code:

Disability, if any: Non-disabled-0, Locomotor disability -1, leprosy cured person -2, cerebral palsy -3, dwarfism -4, muscular dystrophy -5, acid attack victims -6, blindness -7, low-vision -8, deafness -9, hard of hearing -10, speech & language disability -11, intellectual disability -12, specific learning disabilities -13, autism spectrum disorder -14, mental illness -15, multiple sclerosis -16, parkinson’s disease -17, haemophilia -18, thalassemia -19, sickle cell disease -20, multiple disabilities -21 and deaf-blindness -22

Degree/severity of Disability= <40% - 1, 40%-79% 2, 80%-100% - 3, Not known – 4

Social category:

General	1
OBC	2
SC	3
ST	4
Minority	5
Any other (Please Specify)	6	………………………

Class:…………………………………………………………………………………………..

Name of the school:……………………………………………………………………………

Years of study in this school:………………………………………………………………….

PART-B

Do you like coming to school? Yes 1 / No 2

If yes, why? Please mention………………

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If no, why? Please mention………………

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Do you face any difficulty in reaching the school? Yes 1 / No 2

If yes, what are the difficulties you face in reaching the school? Please mention……………

……..…………………………………………………………………………………………..

Is the approaching road to the school well maintained with a level surface? Yes 1 / No 2

If no, what are the changes you may require? Please mention……………

……..…………………………………………………………………………………………..

Is there an accessible and comfortable ramp with railing installed besides the stairs in the school? Yes 1 / No 2

Are you facing any difficulty in using the following :

Amenities	(Ö)/(×)	Difficulties (if any)
Corridor
Toilet
Drinking water
Classrooms
Play ground
Dormitories
Library
Laboratory
Recreation areas
Dining areas
Computer class
Resource centre
Any other

Do you get services of Special Education Teacher? Yes 1 / No 2

If no, what is the reason? Please mention……………

……..…………………………………………………………………………………………..

Do you get services of Attendant/caregiver? Yes 1 / No 2

If no, what is the reason? Please mention……………

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Do you require any specialized or modified teaching learning materials? Yes 1 / No 2

If yes, please mention……………

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Do you get specialized teaching learning materials? Yes 1 / No 2

If no, what is the reason? Please mention……………

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Do you want any changes in teaching-learning process in the classroom? Yes 1 / No 2

If yes, please mention……………

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Do you want any changes in the assessment of your learning ? Yes 1 / No 2

If yes, please mention……………

……..…………………………………………………………………………………………..

If no, what is the reason? Please mention……………

……..…………………………………………………………………………………………..

Do you get some extra/ compensatory facilities/exemptions in written examination?

Yes 1 / No 2

If yes, please mention……………

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If no, what is the reason? Please mention……………

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Do you get any incentives, scholarships, concessions etc? Yes 1 / No 2

If yes, Please mention……………

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Do you require any aids and appliances or have you received any aids and appliances?

Yes 1 / No 2

If yes,Please mention……………

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If no, what is the reason? Please mention……………

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Do you receive additional assistance from your teachers in your learning activities, assignments, projects etc.? Yes 1 / No 2

If yes, please mention……………

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Do you receive help from your classmates in your learning activities? Yes 1 / No 2

If yes, please mention……………

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Are you taking any medications/medical treatment that might affect your attendance or performance at school? Yes 1 / No 2

If yes, please mention……………

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Do you get any help from school when you are continuously absent from your class for your treatment? Yes 1 / No 2

If yes, please mention……………

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Please reflect on the followings:

Teachers’ behaviour
Classmates’ behaviour
Your interaction with other classmates
Providing assistance to your classmates
Receiving assistance from your classmates
Appreciation you received
Punishment you received
Your expectations
Your parents’ expectations
Your teachers’ expectations