######### Data to be Collected in Document Analysis and Survey Instrument

Section A: Overview

+--------+------------+------------------------------------------------+
| **Peer | **Item     | **Question**                                   |
| Review | Number/**  |                                                |
| Refer  |            | **Section A: Overview**                        |
| ence** | **Response |                                                |
|        | Choice**   |                                                |
+--------+------------+------------------------------------------------+
| *A1a   |            |                                                |
| t      |            |                                                |
| hrough |            |                                                |
| A4     |            |                                                |
| will   |            |                                                |
| be     |            |                                                |
| re     |            |                                                |
| peated |            |                                                |
| dep    |            |                                                |
| ending |            |                                                |
| on the |            |                                                |
| number |            |                                                |
| of     |            |                                                |
| alt    |            |                                                |
| ernate |            |                                                |
| asses  |            |                                                |
| sments |            |                                                |
| in a   |            |                                                |
| state. |            |                                                |
| For    |            |                                                |
| the    |            |                                                |
| gen    |            |                                                |
| eral/r |            |                                                |
| egular |            |                                                |
| asse   |            |                                                |
| ssment |            |                                                |
| only   |            |                                                |
| A1a    |            |                                                |
| t      |            |                                                |
| hrough |            |                                                |
| A1d    |            |                                                |
| will   |            |                                                |
| be     |            |                                                |
| a      |            |                                                |
| sked.* |            |                                                |
+--------+------------+------------------------------------------------+
|        | A1a        | Assessment title (and commonly used acronym)?  |
+--------+------------+------------------------------------------------+
|        | A1b        | Assessment developer(s)?                       |
+--------+------------+------------------------------------------------+
|        | A1c        | Content Areas?                                 |
+--------+------------+------------------------------------------------+
|        | A1e        | Purpose(s) of assessment?                      |
+--------+------------+------------------------------------------------+
|        | A3         | Grades in which each assessment is used in     |
|        |            | 2005-06.....                                   |
+--------+------------+------------------------------------------------+
|        | A4         | Assessment approach (structure/types of items  |
|        |            | used).....                                     |
+--------+------------+------------------------------------------------+
|        | A5         | Describe the role of student work (videos,     |
|        |            | photographs, work sheets/products) in the      |
|        |            | alternate assessment.                          |
+--------+------------+------------------------------------------------+
|        | A6         | Describe the role of teacher judgment in the   |
|        |            | alternate assessment.                          |
+--------+------------+------------------------------------------------+
|        | A7a        | How many state content standards are there for |
|        |            | English language arts?                         |
+--------+------------+------------------------------------------------+
| []{    | A7b        | How many state content standards are there for |
| .mark} |            | mathematics?                                   |
+--------+------------+------------------------------------------------+
| []{    | A7c        | Have the state's content standards been        |
| .mark} |            | extended or further clarified to provide       |
|        |            | access for students with significant cognitive |
|        |            | disabilities?                                  |
+--------+------------+------------------------------------------------+
| If     |            |                                                |
| yes,   |            |                                                |
| ask    |            |                                                |
| A7d,   |            |                                                |
| else   |            |                                                |
| go to  |            |                                                |
| A7f    |            |                                                |
+--------+------------+------------------------------------------------+
| []{    | A7d        | What is the name of the extended content       |
| .mark} |            | standards?                                     |
+--------+------------+------------------------------------------------+
| []{    | A7e        | How do the extended content standards map to   |
| .mark} |            | the state content standards?                   |
+--------+------------+------------------------------------------------+
| []{    | A7f        | On how many content standards in English       |
| .mark} |            | language arts and in mathematics is an         |
|        |            | individual student with significant cognitive  |
|        |            | disabilities assessed in the alternate         |
|        |            | assessment?                                    |
+--------+------------+------------------------------------------------+
|        | A11        | For each of the languages arts standards       |
|        |            | addressed, how many tasks or products are      |
|        |            | required?                                      |
+--------+------------+------------------------------------------------+
|        | A12        | For each of the mathematics standards          |
|        |            | addressed, how many tasks or products are      |
|        |            | required?                                      |
+--------+------------+------------------------------------------------+

+--------+------------+------------------------------------------------+
| **Peer | **Item     | **Question**                                   |
| Review | Number/**  |                                                |
| Refer  |            | **Section A: Overview**                        |
| ence** | **Response |                                                |
|        | Choice**   |                                                |
+--------+------------+------------------------------------------------+
|        | A14        | What is the time frame within which the        |
|        |            | alternate assessment occurs (specify dates in  |
|        |            | comments field)?                               |
+--------+------------+------------------------------------------------+
|        |            | \* One day to two weeks                        |
+--------+------------+------------------------------------------------+
|        |            | \* More than 2 weeks to 1 month                |
+--------+------------+------------------------------------------------+
|        |            | \* More than 1 month to 2 months               |
+--------+------------+------------------------------------------------+
|        |            | \* More than 2 months to the full school year  |
+--------+------------+------------------------------------------------+
|        | A15        | To what degree does the assessment of student  |
|        |            | work (tasks or products) take place as part of |
|        |            | the day to day instructional activities?       |
+--------+------------+------------------------------------------------+
|        | A16        | To what degree is the assessment of student    |
|        |            | work (tasks or products) conducted             |
|        |            | "on-demand"?                                   |
+--------+------------+------------------------------------------------+

Section C: Academic Achievement Standards

+--------+-----------+------------------------------------------------+
| **Peer | **Item    | **Question**                                   |
| Review | Number/** |                                                |
| Refer  |           | **Section C: Academic Achievement Standards**  |
| ence** | *         |                                                |
|        | *Response |                                                |
|        | Choice**  |                                                |
+--------+-----------+------------------------------------------------+
| 2.1    | C11a      | Who was involved in creating the alternate     |
|        |           | achievement standards for students with        |
|        |           | significant cognitive disabilities for         |
|        |           | language arts grades 3 through 8?              |
+--------+-----------+------------------------------------------------+
|        | Response  | \* General educators                           |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* Parents                                     |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* Test vendor                                 |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* State special education staff               |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* State assessment staff                      |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* State instruction and curriculum staff      |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* Outside experts                             |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* Special educators                           |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* Content specialist                          |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* Other                                       |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
| 2.1    | C12a      | Who was involved in creating the alternate     |
|        |           | achievement standards for students with        |
|        |           | significant cognitive disabilities for         |
|        |           | language arts grades 10 through 12?            |
+--------+-----------+------------------------------------------------+
|        | Response  | \* General educators                           |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* Parents                                     |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* Test vendor                                 |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* State special education staff               |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* State assessment staff                      |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* State instruction and curriculum staff      |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* Outside experts                             |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* Special educators                           |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* Content specialist                          |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* Other                                       |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+

+--------+-----------+------------------------------------------------+
| **Peer | **Item    | **Question**                                   |
| Review | Number/** |                                                |
| Refer  |           | **Section C: Academic Achievement Standards**  |
| ence** | *         |                                                |
|        | *Response |                                                |
|        | Choice**  |                                                |
+--------+-----------+------------------------------------------------+
| 2.1    | C13a      | Who was involved in creating the alternate     |
|        |           | achievement standards for students with        |
|        |           | significant cognitive disabilities for         |
|        |           | mathematics grades 3 through 8?                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* General educators                           |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* Parents                                     |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* Test vendor                                 |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* State special education staff               |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* State assessment staff                      |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* State instruction and curriculum staff      |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* Outside experts                             |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* Special educators                           |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* Content specialist                          |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* Other                                       |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
| 2.1    | C14a      | Who was involved in creating the alternate     |
|        |           | achievement standards for students with        |
|        |           | significant cognitive disabilities for         |
|        |           | mathematics grades 10 through 12?              |
+--------+-----------+------------------------------------------------+
|        | Response  | \* General educators                           |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* Parents                                     |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* Test vendor                                 |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* State special education staff               |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* State assessment staff                      |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* State instruction and curriculum staff      |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* Outside experts                             |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* Special educators                           |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* Content specialist                          |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
|        | Response  | \* Other                                       |
|        | choice    |                                                |
+--------+-----------+------------------------------------------------+
| 2.5    | C30b      | What was the process by which alternate        |
|        |           | achievement descriptors for students with      |
|        |           | significant cognitive disabilities for         |
|        |           | language arts grades 3 through 8 were          |
|        |           | determined?                                    |
+--------+-----------+------------------------------------------------+

+--------+-----------+------------------------------------------------+
| **Peer | **Item    | **Question**                                   |
| Review | Number/** |                                                |
| Refer  |           | **Section C: Academic Achievement Standards**  |
| ence** | *         |                                                |
|        | *Response |                                                |
|        | Choice**  |                                                |
+--------+-----------+------------------------------------------------+
| 2.2    | C31b      | What was the process by which alternate        |
|        |           | achievement descriptors for students with      |
|        |           | significant cognitive disabilities for         |
|        |           | language arts grades 10 through 12 were        |
|        |           | determined?                                    |
+--------+-----------+------------------------------------------------+
| 2.5    | C32b      | What was the process by which alternate        |
|        |           | achievement descriptors for students with      |
|        |           | significant cognitive disabilities for         |
|        |           | mathematics grades 3 through 8 were            |
|        |           | determined?                                    |
+--------+-----------+------------------------------------------------+
| 2.2    | C33b      | What was the process by which alternate        |
|        |           | achievement descriptors for students with      |
|        |           | significant cognitive disabilities for         |
|        |           | mathematics grades 10 through 12 were          |
|        |           | determined?                                    |
+--------+-----------+------------------------------------------------+
| 2.3    | C42b      | What was the process by which alternate        |
|        |           | achievement cut scores for students with       |
|        |           | significant cognitive disabilities for         |
|        |           | language arts grades 3 through 8 were          |
|        |           | determined?                                    |
+--------+-----------+------------------------------------------------+
| 2.3    | C43b      | What was the process by which alternate        |
|        |           | achievement cut scores for students with       |
|        |           | significant cognitive disabilities for         |
|        |           | language arts grades 10 through 12 were        |
|        |           | determined?                                    |
+--------+-----------+------------------------------------------------+
| 2.3    | C44b      | What was the process by which alternate        |
|        |           | achievement cut scores for students with       |
|        |           | significant cognitive disabilities for         |
|        |           | mathematics grades 3 through 8 were            |
|        |           | determined?                                    |
+--------+-----------+------------------------------------------------+
| 2.2    | C45b      | What was the process by which alternate        |
|        |           | achievement cut scores for students with       |
|        |           | significant cognitive disabilities for         |
|        |           | mathematics grades 10 through 12 were          |
|        |           | determined?                                    |
+--------+-----------+------------------------------------------------+
| 2.3    | C65a      | What is the names(s) and cut score(s) for      |
|        |           | Advanced achievement level for students being  |
|        |           | assessed based on alternate achievement        |
|        |           | standards for language arts (For example, Name |
|        |           | = ##, separate multiple items with a hard      |
|        |           | return)?                                       |
+--------+-----------+------------------------------------------------+
| 2.3    | C65b      | What is the name and cut score for Proficient  |
|        |           | achievement level for students being assessed  |
|        |           | based on alternate achievement standards for   |
|        |           | language arts (For example, Name = ##)?        |
+--------+-----------+------------------------------------------------+
| 2.3    | C65c      | What is the names(s) and cut score(s) for      |
|        |           | Basic achievement level for students being     |
|        |           | assessed based on alternate achievement        |
|        |           | standards for language arts (For example, Name |
|        |           | = ##, separate multiple items with a hard      |
|        |           | return)?                                       |
+--------+-----------+------------------------------------------------+
| 2.3    | C66       | What is the descriptor for each achievement    |
|        |           | level for students being assessed based on     |
|        |           | alternate achievement standards for language   |
|        |           | arts?                                          |
+--------+-----------+------------------------------------------------+
| 2.3    | C68a      | What is the names(s) and cut score(s) for      |
|        |           | Advanced achievement level for students being  |
|        |           | assessed based on alternate achievement        |
|        |           | standards for mathematics (For example, Name = |
|        |           | ##, separate multiple items with a hard        |
|        |           | return)?                                       |
+--------+-----------+------------------------------------------------+
| 2.3    | C68b      | What is the name and cut score for Proficient  |
|        |           | achievement level for students being assessed  |
|        |           | based on alternate achievement standards for   |
|        |           | mathematics (For example, Name = ##)?          |
+--------+-----------+------------------------------------------------+

+--------+-----------+------------------------------------------------+
| **Peer | **Item    | **Question**                                   |
| Review | Number/** |                                                |
| Refer  |           | **Section C: Academic Achievement Standards**  |
| ence** | *         |                                                |
|        | *Response |                                                |
|        | Choice**  |                                                |
+--------+-----------+------------------------------------------------+
| 2.3    | C68c      | What is the names(s) and cut score(s) for      |
|        |           | Basic achievement level for students being     |
|        |           | assessed based on alternate achievement        |
|        |           | standards for mathematics (For example, Name = |
|        |           | ##, separate multiple items with a hard        |
|        |           | return)?                                       |
+--------+-----------+------------------------------------------------+
| 2.3    | C69       | What is the descriptor for each achievement    |
|        |           | level for students being assessed based on     |
|        |           | alternate achievement standards for            |
|        |           | mathematics?                                   |
+--------+-----------+------------------------------------------------+
| 2      | C75       | How does the state ensure that the alternate   |
| .1/6.2 |           | achievement standards promote access to the    |
|        |           | general curriculum?                            |
+--------+-----------+------------------------------------------------+
| 2.1    | C76       | Do the alternate achievement standards reflect |
|        |           | professional judgment of the highest standards |
|        |           | possible?                                      |
+--------+-----------+------------------------------------------------+
| 2      | C85       | What procedures are in place for informing     |
| .3/6.2 |           | parents when a child is assessed using an      |
|        |           | alternate assessment based on alternate        |
|        |           | achievement standards?                         |
+--------+-----------+------------------------------------------------+

Section D: Statewide Assessment System

+--------+------------+------------------------------------------------+
| **Peer | **Item     | **Question**                                   |
| Review | Number/**  |                                                |
| Refer  |            | **Section D: Statewide Assessment System**     |
| ence** | **Response |                                                |
|        | Choice**   |                                                |
+--------+------------+------------------------------------------------+
| 3.2    | D1         | Does the assessment system include assessments |
|        |            | developed or adopted at both the local and     |
|        | Yes/No     | state levels?                                  |
|        | option     |                                                |
+--------+------------+------------------------------------------------+
|        | D2         | Does the assessment system include alternate   |
|        |            | assessments developed or adopted at both the   |
|        | Yes/No     | local and state levels?                        |
|        | option     |                                                |
+--------+------------+------------------------------------------------+
| If     |            |                                                |
| yes,   |            |                                                |
| ask    |            |                                                |
| D3,    |            |                                                |
| else   |            |                                                |
| go to  |            |                                                |
| S      |            |                                                |
| ection |            |                                                |
| E.     |            |                                                |
+--------+------------+------------------------------------------------+
| 3.2    | D3         | How has the state ensured that these local     |
|        |            | alternate assessments meet the same technical  |
|        |            | requirements as the statewide alternate        |
|        |            | assessments?                                   |
+--------+------------+------------------------------------------------+
|        | D4b        | What is the process for ensuring that all      |
|        |            | local alternate assessments are aligned with   |
|        | Yes/No     | the academic content and alternate achievement |
|        | option     | standards?                                     |
+--------+------------+------------------------------------------------+
| 3.2    | D5         | What is the process for ensuring that all      |
|        |            | local alternate assessments are equivalent to  |
|        |            | one another in terms of content coverage,      |
|        |            | difficulty, and quality?                       |
+--------+------------+------------------------------------------------+
| 3.2    | D6         | What is the process for ensuring that all      |
|        |            | local alternate assessments yield comparable   |
|        |            | results for all subgroups?                     |
+--------+------------+------------------------------------------------+
| 3.2    | D7         | What is the process for ensuring that all      |
|        |            | local alternate assessments yield results that |
|        |            | can be aggregated with those from other local  |
|        |            | alternate assessments and with any statewide   |
|        |            | alternate assessments?                         |
+--------+------------+------------------------------------------------+
| 3.2    | D8         | What is the process for ensuring that all      |
|        |            | local alternate assessments provide unbiased,  |
|        |            | rational, and consistent determinations of the |
|        |            | annual progress of schools and LEAs within the |
|        |            | state?                                         |
+--------+------------+------------------------------------------------+
| 3.2    | D9         | Have criteria been selected for evaluating     |
|        |            | local alternate assessments?                   |
+--------+------------+------------------------------------------------+
| 3.2    | D10        | Are there plans to rectify deficiencies if any |
|        |            | are displayed through evaluation studies?      |
+--------+------------+------------------------------------------------+

Section E: Technical Quality

+--------+------------+------------------------------------------------+---+
| **Peer | **Item     | **Question**                                   |   |
| Review | Number/**  |                                                |   |
| Refer  |            | **Section E: Technical Quality**               |   |
| ence** | **Response |                                                |   |
|        | Choice**   |                                                |   |
+--------+------------+------------------------------------------------+---+
| 4.1    | E75        | Who was involved in evaluating the technical   |   |
|        |            | characteristics of validity of the alternate   |   |
|        |            | assessment based on alternate achievement      |   |
|        |            | standards?                                     |   |
+--------+------------+------------------------------------------------+---+
|        | Response   | \* General educators                           |   |
|        | choice     |                                                |   |
+--------+------------+------------------------------------------------+---+
|        | Response   | \* Parents                                     |   |
|        | choice     |                                                |   |
+--------+------------+------------------------------------------------+---+
|        | Response   | \* Test vendor                                 |   |
|        | choice     |                                                |   |
+--------+------------+------------------------------------------------+---+
|        | Response   | \* State special education staff               |   |
|        | choice     |                                                |   |
+--------+------------+------------------------------------------------+---+
|        | Response   | \* State assessment staff                      |   |
|        | choice     |                                                |   |
+--------+------------+------------------------------------------------+---+
|        | Response   | \* State instruction and curriculum staff      |   |
|        | choice     |                                                |   |
+--------+------------+------------------------------------------------+---+
|        | Response   | \* Outside experts                             |   |
|        | choice     |                                                |   |
+--------+------------+------------------------------------------------+---+
|        | Response   | \* Special educators                           |   |
|        | choice     |                                                |   |
+--------+------------+------------------------------------------------+---+
|        | Response   | \* Content specialist                          |   |
|        | choice     |                                                |   |
+--------+------------+------------------------------------------------+---+
|        | Response   | \* Other                                       |   |
|        | choice     |                                                |   |
+--------+------------+------------------------------------------------+---+
|        | E76        | Has the state documented the validity of the   |   |
|        |            | alternate assessment based on alternate        |   |
|        | Yes/No     | achievement standards in terms of scoring and  |   |
|        | option     | reporting structures consistent with the       |   |
|        |            | subdomain structures of its content standards? |   |
+--------+------------+------------------------------------------------+---+
| If     |            |                                                |   |
| yes,   |            |                                                |   |
| ask    |            |                                                |   |
| E76b,  |            |                                                |   |
| else   |            |                                                |   |
| go to  |            |                                                |   |
| E77    |            |                                                |   |
+--------+------------+------------------------------------------------+---+
|        | E76b       | What evidence is there to support the validity |   |
|        |            | argument in terms of scoring and reporting     |   |
|        |            | structures consistent with the subdomain       |   |
|        |            | structures of its content standards?           |   |
+--------+------------+------------------------------------------------+---+
|        | E77        | Has the state documented the validity of the   |   |
|        |            | alternate assessment based on alternate        |   |
|        | Yes/No     | achievement standards in terms of test and     |   |
|        | option     | item scores related to internal or external    |   |
|        |            | variables as intended?                         |   |
+--------+------------+------------------------------------------------+---+
| If     |            |                                                |   |
| yes,   |            |                                                |   |
| ask    |            |                                                |   |
| E77b,  |            |                                                |   |
| else   |            |                                                |   |
| go to  |            |                                                |   |
| E78    |            |                                                |   |
+--------+------------+------------------------------------------------+---+
|        | E77b       | What evidence is there to support the validity |   |
|        |            | argument in terms of test and item scores      |   |
|        |            | related to internal or external variables as   |   |
|        |            | intended?                                      |   |
+--------+------------+------------------------------------------------+---+
|        | E78        | Has the state documented the validity of the   |   |
|        |            | alternate assessment based on alternate        |   |
|        | Yes/No     | achievement standards in terms of purposes of  |   |
|        | option     | the assessments, delineating the types of uses |   |
|        |            | and decisions most appropriate?                |   |
+--------+------------+------------------------------------------------+---+
| If     |            |                                                |   |
| yes,   |            |                                                |   |
| ask    |            |                                                |   |
| E78b,  |            |                                                |   |
| else   |            |                                                |   |
| go to  |            |                                                |   |
| E79    |            |                                                |   |
+--------+------------+------------------------------------------------+---+
|        | E78b       | What evidence is there to support the validity |   |
|        |            | argument in terms of purposes of the           |   |
|        |            | assessments, delineating the types of uses and |   |
|        |            | decisions most appropriate?                    |   |
+--------+------------+------------------------------------------------+---+
| **Peer | **Item     | **Question**                                   |   |
| Review | Number/**  |                                                |   |
| Refer  |            | **Section E: Technical Quality**               |   |
| ence** | **Response |                                                |   |
|        | Choice**   |                                                |   |
+--------+------------+------------------------------------------------+---+
|        | E79        | Has the state documented the validity of the   |   |
|        |            | alternate assessment based on alternate        |   |
|        | Yes/No     | achievement standards in terms of decisions    |   |
|        | option     | based on the assessment results consistent     |   |
|        |            | with the purposes?                             |   |
+--------+------------+------------------------------------------------+---+
| If     |            |                                                |   |
| yes,   |            |                                                |   |
| ask    |            |                                                |   |
| E79b,  |            |                                                |   |
| else   |            |                                                |   |
| go to  |            |                                                |   |
| E80    |            |                                                |   |
+--------+------------+------------------------------------------------+---+
|        | E79b       | What evidence is there to support the validity |   |
|        |            | argument in terms of decisions based on the    |   |
|        |            | assessment results consistent with the         |   |
|        |            | purposes?                                      |   |
+--------+------------+------------------------------------------------+---+
|        | E80        | Has the state documented the validity of the   |   |
|        |            | alternate assessment based on alternate        |   |
|        | Yes/No     | achievement standards in terms of              |   |
|        | option     | implementation processes?                      |   |
+--------+------------+------------------------------------------------+---+
| If     |            |                                                |   |
| yes,   |            |                                                |   |
| ask    |            |                                                |   |
| E80b,  |            |                                                |   |
| else   |            |                                                |   |
| go to  |            |                                                |   |
| E81    |            |                                                |   |
+--------+------------+------------------------------------------------+---+
|        | E80b       | What evidence is there to support the validity |   |
|        |            | argument in terms of implementation processes? |   |
+--------+------------+------------------------------------------------+---+
|        | E81        | Has the state documented the validity of the   |   |
|        |            | alternate assessment based on alternate        |   |
|        | Yes/No     | achievement standards in terms of the          |   |
|        | option     | assessment system producing intended and       |   |
|        |            | unintended consequences?                       |   |
+--------+------------+------------------------------------------------+---+
| If     |            |                                                |   |
| yes,   |            |                                                |   |
| ask    |            |                                                |   |
| E81b,  |            |                                                |   |
| else   |            |                                                |   |
| go to  |            |                                                |   |
| E82    |            |                                                |   |
+--------+------------+------------------------------------------------+---+
|        | E81b       | What evidence is there to support the validity |   |
|        |            | argument in terms of the assessment system     |   |
|        |            | producing intended and unintended              |   |
|        |            | consequences?                                  |   |
+--------+------------+------------------------------------------------+---+
|        | E82        | Has the state documented the validity of the   |   |
|        |            | alternate assessment based on alternate        |   |
|        | Yes/No     | achievement standards in terms of measurement  |   |
|        | option     | of construct relevance?                        |   |
+--------+------------+------------------------------------------------+---+
| If     |            |                                                |   |
| yes,   |            |                                                |   |
| ask    |            |                                                |   |
| E82b,  |            |                                                |   |
| else   |            |                                                |   |
| go to  |            |                                                |   |
| E83    |            |                                                |   |
+--------+------------+------------------------------------------------+---+
|        | E82b       | What evidence is there to support the validity |   |
|        |            | argument in terms of measurement of construct  |   |
|        |            | relevance?                                     |   |
+--------+------------+------------------------------------------------+---+
|        | E83        | Has the state documented the validity of the   |   |
|        |            | alternate assessment based on alternate        |   |
|        | Yes/No     | achievement standards in terms of grade level  |   |
|        | option     | equating?                                      |   |
+--------+------------+------------------------------------------------+---+
| If     |            |                                                |   |
| yes,   |            |                                                |   |
| ask    |            |                                                |   |
| E83b,  |            |                                                |   |
| else   |            |                                                |   |
| go to  |            |                                                |   |
| E84    |            |                                                |   |
+--------+------------+------------------------------------------------+---+
|        | E83b       | What evidence is there to support the validity |   |
|        |            | argument in terms of grade level equating?     |   |
+--------+------------+------------------------------------------------+---+
| 4.1    | E84        | What additional technical qualities were used  |   |
|        |            | to determine validity of the alternate         |   |
|        |            | assessment based on alternate achievement      |   |
|        |            | standards?                                     |   |
+--------+------------+------------------------------------------------+---+
| If     |            |                                                |   |
| yes,   |            |                                                |   |
| ask    |            |                                                |   |
| E84b,  |            |                                                |   |
| else   |            |                                                |   |
| go to  |            |                                                |   |
| E86    |            |                                                |   |
+--------+------------+------------------------------------------------+---+
|        | E84b       | What evidence is there to support the validity |   |
|        |            | argument in terms of additional technical      |   |
|        |            | qualities used?                                |   |
+--------+------------+------------------------------------------------+---+

+--------+------------+---+------------------------------------------------+---+
| **Peer | **Item     | * |                                                |   |
| Review | Number/**  | * |                                                |   |
| Refer  |            | Q |                                                |   |
| ence** | **Response | u |                                                |   |
|        | Choice**   | e |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | i |                                                |   |
|        |            | o |                                                |   |
|        |            | n |                                                |   |
|        |            | * |                                                |   |
|        |            | * |                                                |   |
|        |            |   |                                                |   |
|        |            | * |                                                |   |
|        |            | * |                                                |   |
|        |            | S |                                                |   |
|        |            | e |                                                |   |
|        |            | c |                                                |   |
|        |            | t |                                                |   |
|        |            | i |                                                |   |
|        |            | o |                                                |   |
|        |            | n |                                                |   |
|        |            | E |                                                |   |
|        |            | : |                                                |   |
|        |            | T |                                                |   |
|        |            | e |                                                |   |
|        |            | c |                                                |   |
|        |            | h |                                                |   |
|        |            | n |                                                |   |
|        |            | i |                                                |   |
|        |            | c |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | Q |                                                |   |
|        |            | u |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | i |                                                |   |
|        |            | t |                                                |   |
|        |            | y |                                                |   |
|        |            | * |                                                |   |
|        |            | * |                                                |   |
+--------+------------+---+------------------------------------------------+---+
| 4.2    | E86        | W |                                                |   |
|        |            | h |                                                |   |
|        |            | o |                                                |   |
|        |            | w |                                                |   |
|        |            | a |                                                |   |
|        |            | s |                                                |   |
|        |            | i |                                                |   |
|        |            | n |                                                |   |
|        |            | v |                                                |   |
|        |            | o |                                                |   |
|        |            | l |                                                |   |
|        |            | v |                                                |   |
|        |            | e |                                                |   |
|        |            | d |                                                |   |
|        |            | i |                                                |   |
|        |            | n |                                                |   |
|        |            | e |                                                |   |
|        |            | v |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | u |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | i |                                                |   |
|        |            | n |                                                |   |
|        |            | g |                                                |   |
|        |            | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | c |                                                |   |
|        |            | h |                                                |   |
|        |            | n |                                                |   |
|        |            | i |                                                |   |
|        |            | c |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | c |                                                |   |
|        |            | h |                                                |   |
|        |            | a |                                                |   |
|        |            | r |                                                |   |
|        |            | a |                                                |   |
|        |            | c |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | i |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | i |                                                |   |
|        |            | c |                                                |   |
|        |            | s |                                                |   |
|        |            | o |                                                |   |
|        |            | f |                                                |   |
|        |            | r |                                                |   |
|        |            | e |                                                |   |
|        |            | l |                                                |   |
|        |            | i |                                                |   |
|        |            | a |                                                |   |
|        |            | b |                                                |   |
|        |            | i |                                                |   |
|        |            | l |                                                |   |
|        |            | i |                                                |   |
|        |            | t |                                                |   |
|        |            | y |                                                |   |
|        |            | f |                                                |   |
|        |            | o |                                                |   |
|        |            | r |                                                |   |
|        |            | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | s |                                                |   |
|        |            | s |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | s |                                                |   |
|        |            | m |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | b |                                                |   |
|        |            | a |                                                |   |
|        |            | s |                                                |   |
|        |            | e |                                                |   |
|        |            | d |                                                |   |
|        |            | o |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | c |                                                |   |
|        |            | h |                                                |   |
|        |            | i |                                                |   |
|        |            | e |                                                |   |
|        |            | v |                                                |   |
|        |            | e |                                                |   |
|        |            | m |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | n |                                                |   |
|        |            | d |                                                |   |
|        |            | a |                                                |   |
|        |            | r |                                                |   |
|        |            | d |                                                |   |
|        |            | s |                                                |   |
|        |            | ? |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | Response   | \ |                                                |   |
|        | choice     | * |                                                |   |
|        |            | G |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | e |                                                |   |
|        |            | d |                                                |   |
|        |            | u |                                                |   |
|        |            | c |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | o |                                                |   |
|        |            | r |                                                |   |
|        |            | s |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | Response   | \ |                                                |   |
|        | choice     | * |                                                |   |
|        |            | P |                                                |   |
|        |            | a |                                                |   |
|        |            | r |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | s |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | Response   | \ |                                                |   |
|        | choice     | * |                                                |   |
|        |            | T |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | v |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | d |                                                |   |
|        |            | o |                                                |   |
|        |            | r |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | Response   | \ |                                                |   |
|        | choice     | * |                                                |   |
|        |            | S |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | p |                                                |   |
|        |            | e |                                                |   |
|        |            | c |                                                |   |
|        |            | i |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | e |                                                |   |
|        |            | d |                                                |   |
|        |            | u |                                                |   |
|        |            | c |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | i |                                                |   |
|        |            | o |                                                |   |
|        |            | n |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | f |                                                |   |
|        |            | f |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | Response   | \ |                                                |   |
|        | choice     | * |                                                |   |
|        |            | S |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | s |                                                |   |
|        |            | s |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | s |                                                |   |
|        |            | m |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | f |                                                |   |
|        |            | f |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | Response   | \ |                                                |   |
|        | choice     | * |                                                |   |
|        |            | S |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | i |                                                |   |
|        |            | n |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | r |                                                |   |
|        |            | u |                                                |   |
|        |            | c |                                                |   |
|        |            | t |                                                |   |
|        |            | i |                                                |   |
|        |            | o |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | n |                                                |   |
|        |            | d |                                                |   |
|        |            | c |                                                |   |
|        |            | u |                                                |   |
|        |            | r |                                                |   |
|        |            | r |                                                |   |
|        |            | i |                                                |   |
|        |            | c |                                                |   |
|        |            | u |                                                |   |
|        |            | l |                                                |   |
|        |            | u |                                                |   |
|        |            | m |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | f |                                                |   |
|        |            | f |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | Response   | \ |                                                |   |
|        | choice     | * |                                                |   |
|        |            | O |                                                |   |
|        |            | u |                                                |   |
|        |            | t |                                                |   |
|        |            | s |                                                |   |
|        |            | i |                                                |   |
|        |            | d |                                                |   |
|        |            | e |                                                |   |
|        |            | e |                                                |   |
|        |            | x |                                                |   |
|        |            | p |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | t |                                                |   |
|        |            | s |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | Response   | \ |                                                |   |
|        | choice     | * |                                                |   |
|        |            | S |                                                |   |
|        |            | p |                                                |   |
|        |            | e |                                                |   |
|        |            | c |                                                |   |
|        |            | i |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | e |                                                |   |
|        |            | d |                                                |   |
|        |            | u |                                                |   |
|        |            | c |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | o |                                                |   |
|        |            | r |                                                |   |
|        |            | s |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | Response   | \ |                                                |   |
|        | choice     | * |                                                |   |
|        |            | C |                                                |   |
|        |            | o |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | s |                                                |   |
|        |            | p |                                                |   |
|        |            | e |                                                |   |
|        |            | c |                                                |   |
|        |            | i |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | i |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | Response   | \ |                                                |   |
|        | choice     | * |                                                |   |
|        |            | O |                                                |   |
|        |            | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
+--------+------------+---+------------------------------------------------+---+
| 4.2    | E87        | H |                                                |   |
|        |            | a |                                                |   |
|        | Yes/No     | s |                                                |   |
|        | option     | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | d |                                                |   |
|        |            | o |                                                |   |
|        |            | c |                                                |   |
|        |            | u |                                                |   |
|        |            | m |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | d |                                                |   |
|        |            | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | e |                                                |   |
|        |            | l |                                                |   |
|        |            | i |                                                |   |
|        |            | a |                                                |   |
|        |            | b |                                                |   |
|        |            | i |                                                |   |
|        |            | l |                                                |   |
|        |            | i |                                                |   |
|        |            | t |                                                |   |
|        |            | y |                                                |   |
|        |            | o |                                                |   |
|        |            | f |                                                |   |
|        |            | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | s |                                                |   |
|        |            | s |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | s |                                                |   |
|        |            | m |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | b |                                                |   |
|        |            | a |                                                |   |
|        |            | s |                                                |   |
|        |            | e |                                                |   |
|        |            | d |                                                |   |
|        |            | o |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | c |                                                |   |
|        |            | h |                                                |   |
|        |            | i |                                                |   |
|        |            | e |                                                |   |
|        |            | v |                                                |   |
|        |            | e |                                                |   |
|        |            | m |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | n |                                                |   |
|        |            | d |                                                |   |
|        |            | a |                                                |   |
|        |            | r |                                                |   |
|        |            | d |                                                |   |
|        |            | s |                                                |   |
|        |            | i |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | m |                                                |   |
|        |            | s |                                                |   |
|        |            | o |                                                |   |
|        |            | f |                                                |   |
|        |            | v |                                                |   |
|        |            | a |                                                |   |
|        |            | r |                                                |   |
|        |            | i |                                                |   |
|        |            | a |                                                |   |
|        |            | b |                                                |   |
|        |            | i |                                                |   |
|        |            | l |                                                |   |
|        |            | i |                                                |   |
|        |            | t |                                                |   |
|        |            | y |                                                |   |
|        |            | o |                                                |   |
|        |            | f |                                                |   |
|        |            | g |                                                |   |
|        |            | r |                                                |   |
|        |            | o |                                                |   |
|        |            | u |                                                |   |
|        |            | p |                                                |   |
|        |            | s |                                                |   |
|        |            | ? |                                                |   |
+--------+------------+---+------------------------------------------------+---+
| If     |            |   |                                                |   |
| yes,   |            |   |                                                |   |
| ask    |            |   |                                                |   |
| E87b,  |            |   |                                                |   |
| else   |            |   |                                                |   |
| go to  |            |   |                                                |   |
| E88    |            |   |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | E87b       | W |                                                |   |
|        |            | h |                                                |   |
|        |            | a |                                                |   |
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|        |            | i |                                                |   |
|        |            | d |                                                |   |
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|        |            | n |                                                |   |
|        |            | c |                                                |   |
|        |            | e |                                                |   |
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|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | h |                                                |   |
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|        |            | i |                                                |   |
|        |            | a |                                                |   |
|        |            | b |                                                |   |
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|        |            | t |                                                |   |
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|        |            | t |                                                |   |
|        |            | e |                                                |   |
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|        |            | s |                                                |   |
|        |            | o |                                                |   |
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|        |            | v |                                                |   |
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|        |            | r |                                                |   |
|        |            | i |                                                |   |
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|        |            | i |                                                |   |
|        |            | l |                                                |   |
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|        |            | y |                                                |   |
|        |            | o |                                                |   |
|        |            | f |                                                |   |
|        |            | g |                                                |   |
|        |            | r |                                                |   |
|        |            | o |                                                |   |
|        |            | u |                                                |   |
|        |            | p |                                                |   |
|        |            | s |                                                |   |
|        |            | ? |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | E88        | H |                                                |   |
|        |            | a |                                                |   |
|        | Yes/No     | s |                                                |   |
|        | option     | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
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|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
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|        |            | r |                                                |   |
|        |            | n |                                                |   |
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|        |            | t |                                                |   |
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|        |            | a |                                                |   |
|        |            | c |                                                |   |
|        |            | h |                                                |   |
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|        |            | e |                                                |   |
|        |            | v |                                                |   |
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|        |            | e |                                                |   |
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|        |            | a |                                                |   |
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|        |            | a |                                                |   |
|        |            | r |                                                |   |
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|        |            | m |                                                |   |
|        |            | s |                                                |   |
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|        |            | f |                                                |   |
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|        |            | r |                                                |   |
|        |            | n |                                                |   |
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|        |            | l |                                                |   |
|        |            | c |                                                |   |
|        |            | o |                                                |   |
|        |            | n |                                                |   |
|        |            | s |                                                |   |
|        |            | i |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | c |                                                |   |
|        |            | y |                                                |   |
|        |            | o |                                                |   |
|        |            | f |                                                |   |
|        |            | i |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | m |                                                |   |
|        |            | r |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | p |                                                |   |
|        |            | o |                                                |   |
|        |            | n |                                                |   |
|        |            | s |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | ? |                                                |   |
+--------+------------+---+------------------------------------------------+---+
| If     |            |   |                                                |   |
| yes,   |            |   |                                                |   |
| ask    |            |   |                                                |   |
| E88b,  |            |   |                                                |   |
| else   |            |   |                                                |   |
| go to  |            |   |                                                |   |
| E89    |            |   |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | E88b       | W |                                                |   |
|        |            | h |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
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|        |            | v |                                                |   |
|        |            | i |                                                |   |
|        |            | d |                                                |   |
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|        |            | c |                                                |   |
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|        |            | p |                                                |   |
|        |            | p |                                                |   |
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|        |            | t |                                                |   |
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|        |            | i |                                                |   |
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|        |            | b |                                                |   |
|        |            | i |                                                |   |
|        |            | l |                                                |   |
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|        |            | t |                                                |   |
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|        |            | g |                                                |   |
|        |            | u |                                                |   |
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|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
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|        |            | n |                                                |   |
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|        |            | s |                                                |   |
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|        |            | a |                                                |   |
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|        |            | y |                                                |   |
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|        |            | m |                                                |   |
|        |            | r |                                                |   |
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|        |            | p |                                                |   |
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|        |            | n |                                                |   |
|        |            | s |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | ? |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | E89        | H |                                                |   |
|        |            | a |                                                |   |
|        | Yes/No     | s |                                                |   |
|        | option     | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
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|        |            | a |                                                |   |
|        |            | s |                                                |   |
|        |            | s |                                                |   |
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|        |            | s |                                                |   |
|        |            | s |                                                |   |
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|        |            | a |                                                |   |
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|        |            | t |                                                |   |
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|        |            | v |                                                |   |
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|        |            | m |                                                |   |
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|        |            | d |                                                |   |
|        |            | s |                                                |   |
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|        |            | m |                                                |   |
|        |            | s |                                                |   |
|        |            | o |                                                |   |
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|        |            | v |                                                |   |
|        |            | a |                                                |   |
|        |            | r |                                                |   |
|        |            | i |                                                |   |
|        |            | a |                                                |   |
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|        |            | i |                                                |   |
|        |            | l |                                                |   |
|        |            | i |                                                |   |
|        |            | t |                                                |   |
|        |            | y |                                                |   |
|        |            | a |                                                |   |
|        |            | m |                                                |   |
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|        |            | n |                                                |   |
|        |            | g |                                                |   |
|        |            | s |                                                |   |
|        |            | c |                                                |   |
|        |            | h |                                                |   |
|        |            | o |                                                |   |
|        |            | o |                                                |   |
|        |            | l |                                                |   |
|        |            | s |                                                |   |
|        |            | ? |                                                |   |
+--------+------------+---+------------------------------------------------+---+
| If     |            |   |                                                |   |
| yes,   |            |   |                                                |   |
| ask    |            |   |                                                |   |
| E89b,  |            |   |                                                |   |
| else   |            |   |                                                |   |
| go to  |            |   |                                                |   |
| E90    |            |   |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | E89b       | W |                                                |   |
|        |            | h |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
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|        |            | e |                                                |   |
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|        |            | s |                                                |   |
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|        |            | a |                                                |   |
|        |            | r |                                                |   |
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|        |            | l |                                                |   |
|        |            | i |                                                |   |
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|        |            | n |                                                |   |
|        |            | g |                                                |   |
|        |            | s |                                                |   |
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|        |            | o |                                                |   |
|        |            | o |                                                |   |
|        |            | l |                                                |   |
|        |            | s |                                                |   |
|        |            | ? |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | E90        | H |                                                |   |
|        |            | a |                                                |   |
|        | Yes/No     | s |                                                |   |
|        | option     | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
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|        |            | n |                                                |   |
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|        |            | f |                                                |   |
|        |            | r |                                                |   |
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|        |            | m |                                                |   |
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|        |            | s |                                                |   |
|        |            | t |                                                |   |
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|        |            | o |                                                |   |
|        |            | m |                                                |   |
|        |            | a |                                                |   |
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|        |            | o |                                                |   |
|        |            | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | ? |                                                |   |
+--------+------------+---+------------------------------------------------+---+
| If     |            |   |                                                |   |
| yes,   |            |   |                                                |   |
| ask    |            |   |                                                |   |
| E90b,  |            |   |                                                |   |
| else   |            |   |                                                |   |
| go to  |            |   |                                                |   |
| E91    |            |   |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | E90b       | W |                                                |   |
|        |            | h |                                                |   |
|        |            | a |                                                |   |
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|        |            | e |                                                |   |
|        |            | r |                                                |   |
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|        |            | l |                                                |   |
|        |            | i |                                                |   |
|        |            | a |                                                |   |
|        |            | b |                                                |   |
|        |            | i |                                                |   |
|        |            | l |                                                |   |
|        |            | i |                                                |   |
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|        |            | n |                                                |   |
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|        |            | m |                                                |   |
|        |            | s |                                                |   |
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|        |            | i |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | c |                                                |   |
|        |            | y |                                                |   |
|        |            | f |                                                |   |
|        |            | r |                                                |   |
|        |            | o |                                                |   |
|        |            | m |                                                |   |
|        |            | o |                                                |   |
|        |            | n |                                                |   |
|        |            | e |                                                |   |
|        |            | t |                                                |   |
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|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | t |                                                |   |
|        |            | o |                                                |   |
|        |            | a |                                                |   |
|        |            | n |                                                |   |
|        |            | o |                                                |   |
|        |            | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | ? |                                                |   |
+--------+------------+---+------------------------------------------------+---+
| **Peer | **Item     |   | **Question**                                   |   |
| Review | Number/**  |   |                                                |   |
| Refer  |            |   | **Section E: Technical Quality**               |   |
| ence** | **Response |   |                                                |   |
|        | Choice**   |   |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | E91        | H |                                                |   |
|        |            | a |                                                |   |
|        | Yes/No     | s |                                                |   |
|        | option     | t |                                                |   |
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|        |            | s |                                                |   |
|        |            | t |                                                |   |
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|        |            | e |                                                |   |
|        |            | d |                                                |   |
|        |            | o |                                                |   |
|        |            | c |                                                |   |
|        |            | u |                                                |   |
|        |            | m |                                                |   |
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|        |            | d |                                                |   |
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|        |            | l |                                                |   |
|        |            | i |                                                |   |
|        |            | a |                                                |   |
|        |            | b |                                                |   |
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|        |            | l |                                                |   |
|        |            | i |                                                |   |
|        |            | t |                                                |   |
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|        |            | a |                                                |   |
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|        |            | r |                                                |   |
|        |            | n |                                                |   |
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|        |            | s |                                                |   |
|        |            | s |                                                |   |
|        |            | m |                                                |   |
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|        |            | e |                                                |   |
|        |            | d |                                                |   |
|        |            | o |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
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|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
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|        |            | a |                                                |   |
|        |            | c |                                                |   |
|        |            | h |                                                |   |
|        |            | i |                                                |   |
|        |            | e |                                                |   |
|        |            | v |                                                |   |
|        |            | e |                                                |   |
|        |            | m |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | n |                                                |   |
|        |            | d |                                                |   |
|        |            | a |                                                |   |
|        |            | r |                                                |   |
|        |            | d |                                                |   |
|        |            | s |                                                |   |
|        |            | i |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | m |                                                |   |
|        |            | s |                                                |   |
|        |            | o |                                                |   |
|        |            | f |                                                |   |
|        |            | i |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | r |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
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|        |            | r |                                                |   |
|        |            | c |                                                |   |
|        |            | o |                                                |   |
|        |            | n |                                                |   |
|        |            | s |                                                |   |
|        |            | i |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | c |                                                |   |
|        |            | y |                                                |   |
|        |            | i |                                                |   |
|        |            | n |                                                |   |
|        |            | s |                                                |   |
|        |            | c |                                                |   |
|        |            | o |                                                |   |
|        |            | r |                                                |   |
|        |            | i |                                                |   |
|        |            | n |                                                |   |
|        |            | g |                                                |   |
|        |            | ? |                                                |   |
+--------+------------+---+------------------------------------------------+---+
| If     |            |   |                                                |   |
| yes,   |            |   |                                                |   |
| ask    |            |   |                                                |   |
| E91b,  |            |   |                                                |   |
| else   |            |   |                                                |   |
| go to  |            |   |                                                |   |
| E92    |            |   |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | E91b       | W |                                                |   |
|        |            | h |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | v |                                                |   |
|        |            | i |                                                |   |
|        |            | d |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | c |                                                |   |
|        |            | e |                                                |   |
|        |            | i |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | e |                                                |   |
|        |            | t |                                                |   |
|        |            | o |                                                |   |
|        |            | s |                                                |   |
|        |            | u |                                                |   |
|        |            | p |                                                |   |
|        |            | p |                                                |   |
|        |            | o |                                                |   |
|        |            | r |                                                |   |
|        |            | t |                                                |   |
|        |            | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | e |                                                |   |
|        |            | l |                                                |   |
|        |            | i |                                                |   |
|        |            | a |                                                |   |
|        |            | b |                                                |   |
|        |            | i |                                                |   |
|        |            | l |                                                |   |
|        |            | i |                                                |   |
|        |            | t |                                                |   |
|        |            | y |                                                |   |
|        |            | a |                                                |   |
|        |            | r |                                                |   |
|        |            | g |                                                |   |
|        |            | u |                                                |   |
|        |            | m |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | i |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | m |                                                |   |
|        |            | s |                                                |   |
|        |            | o |                                                |   |
|        |            | f |                                                |   |
|        |            | i |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | r |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | c |                                                |   |
|        |            | o |                                                |   |
|        |            | n |                                                |   |
|        |            | s |                                                |   |
|        |            | i |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | c |                                                |   |
|        |            | y |                                                |   |
|        |            | i |                                                |   |
|        |            | n |                                                |   |
|        |            | s |                                                |   |
|        |            | c |                                                |   |
|        |            | o |                                                |   |
|        |            | r |                                                |   |
|        |            | i |                                                |   |
|        |            | n |                                                |   |
|        |            | g |                                                |   |
|        |            | ? |                                                |   |
+--------+------------+---+------------------------------------------------+---+
| 4.2    | E92        | W |                                                |   |
|        |            | h |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | d |                                                |   |
|        |            | d |                                                |   |
|        |            | i |                                                |   |
|        |            | t |                                                |   |
|        |            | i |                                                |   |
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|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | c |                                                |   |
|        |            | h |                                                |   |
|        |            | n |                                                |   |
|        |            | i |                                                |   |
|        |            | c |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | q |                                                |   |
|        |            | u |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | i |                                                |   |
|        |            | t |                                                |   |
|        |            | i |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | w |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | e |                                                |   |
|        |            | u |                                                |   |
|        |            | s |                                                |   |
|        |            | e |                                                |   |
|        |            | d |                                                |   |
|        |            | t |                                                |   |
|        |            | o |                                                |   |
|        |            | d |                                                |   |
|        |            | e |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | m |                                                |   |
|        |            | i |                                                |   |
|        |            | n |                                                |   |
|        |            | e |                                                |   |
|        |            | d |                                                |   |
|        |            | r |                                                |   |
|        |            | e |                                                |   |
|        |            | l |                                                |   |
|        |            | i |                                                |   |
|        |            | a |                                                |   |
|        |            | b |                                                |   |
|        |            | i |                                                |   |
|        |            | l |                                                |   |
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|        |            | y |                                                |   |
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|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
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|        |            | n |                                                |   |
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|        |            | s |                                                |   |
|        |            | s |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | s |                                                |   |
|        |            | m |                                                |   |
|        |            | e |                                                |   |
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|        |            | a |                                                |   |
|        |            | s |                                                |   |
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|        |            | d |                                                |   |
|        |            | o |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | t |                                                |   |
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|        |            | n |                                                |   |
|        |            | a |                                                |   |
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|        |            | c |                                                |   |
|        |            | h |                                                |   |
|        |            | i |                                                |   |
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|        |            | v |                                                |   |
|        |            | e |                                                |   |
|        |            | m |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | n |                                                |   |
|        |            | d |                                                |   |
|        |            | a |                                                |   |
|        |            | r |                                                |   |
|        |            | d |                                                |   |
|        |            | s |                                                |   |
|        |            | ? |                                                |   |
+--------+------------+---+------------------------------------------------+---+
| If     |            |   |                                                |   |
| yes,   |            |   |                                                |   |
| ask    |            |   |                                                |   |
| E92b,  |            |   |                                                |   |
| else   |            |   |                                                |   |
| go to  |            |   |                                                |   |
| E93    |            |   |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | E92b       | W |                                                |   |
|        |            | h |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | v |                                                |   |
|        |            | i |                                                |   |
|        |            | d |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | c |                                                |   |
|        |            | e |                                                |   |
|        |            | i |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | e |                                                |   |
|        |            | t |                                                |   |
|        |            | o |                                                |   |
|        |            | s |                                                |   |
|        |            | u |                                                |   |
|        |            | p |                                                |   |
|        |            | p |                                                |   |
|        |            | o |                                                |   |
|        |            | r |                                                |   |
|        |            | t |                                                |   |
|        |            | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | e |                                                |   |
|        |            | l |                                                |   |
|        |            | i |                                                |   |
|        |            | a |                                                |   |
|        |            | b |                                                |   |
|        |            | i |                                                |   |
|        |            | l |                                                |   |
|        |            | i |                                                |   |
|        |            | t |                                                |   |
|        |            | y |                                                |   |
|        |            | a |                                                |   |
|        |            | r |                                                |   |
|        |            | g |                                                |   |
|        |            | u |                                                |   |
|        |            | m |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | i |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | m |                                                |   |
|        |            | s |                                                |   |
|        |            | o |                                                |   |
|        |            | f |                                                |   |
|        |            | a |                                                |   |
|        |            | d |                                                |   |
|        |            | d |                                                |   |
|        |            | i |                                                |   |
|        |            | t |                                                |   |
|        |            | i |                                                |   |
|        |            | o |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | c |                                                |   |
|        |            | h |                                                |   |
|        |            | n |                                                |   |
|        |            | i |                                                |   |
|        |            | c |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | q |                                                |   |
|        |            | u |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | i |                                                |   |
|        |            | t |                                                |   |
|        |            | i |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | ? |                                                |   |
+--------+------------+---+------------------------------------------------+---+
| 4.3    | E93        | H |                                                |   |
|        |            | a |                                                |   |
|        | Yes/No     | v |                                                |   |
|        | option     | e |                                                |   |
|        |            | c |                                                |   |
|        |            | o |                                                |   |
|        |            | n |                                                |   |
|        |            | d |                                                |   |
|        |            | i |                                                |   |
|        |            | t |                                                |   |
|        |            | i |                                                |   |
|        |            | o |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | n |                                                |   |
|        |            | d |                                                |   |
|        |            | a |                                                |   |
|        |            | r |                                                |   |
|        |            | d |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | r |                                                |   |
|        |            | o |                                                |   |
|        |            | r |                                                |   |
|        |            | s |                                                |   |
|        |            | o |                                                |   |
|        |            | f |                                                |   |
|        |            | m |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | s |                                                |   |
|        |            | u |                                                |   |
|        |            | r |                                                |   |
|        |            | e |                                                |   |
|        |            | m |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | b |                                                |   |
|        |            | e |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | r |                                                |   |
|        |            | e |                                                |   |
|        |            | p |                                                |   |
|        |            | o |                                                |   |
|        |            | r |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | d |                                                |   |
|        |            | f |                                                |   |
|        |            | o |                                                |   |
|        |            | r |                                                |   |
|        |            | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | s |                                                |   |
|        |            | s |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | s |                                                |   |
|        |            | m |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | b |                                                |   |
|        |            | a |                                                |   |
|        |            | s |                                                |   |
|        |            | e |                                                |   |
|        |            | d |                                                |   |
|        |            | o |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | c |                                                |   |
|        |            | h |                                                |   |
|        |            | i |                                                |   |
|        |            | e |                                                |   |
|        |            | v |                                                |   |
|        |            | e |                                                |   |
|        |            | m |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | n |                                                |   |
|        |            | d |                                                |   |
|        |            | a |                                                |   |
|        |            | r |                                                |   |
|        |            | d |                                                |   |
|        |            | s |                                                |   |
|        |            | ? |                                                |   |
+--------+------------+---+------------------------------------------------+---+
| If     |            |   |                                                |   |
| yes,   |            |   |                                                |   |
| ask    |            |   |                                                |   |
| E93b,  |            |   |                                                |   |
| else   |            |   |                                                |   |
| go to  |            |   |                                                |   |
| E94    |            |   |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | E93a       | W |                                                |   |
|        |            | h |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | r |                                                |   |
|        |            | e |                                                |   |
|        |            | l |                                                |   |
|        |            | i |                                                |   |
|        |            | a |                                                |   |
|        |            | b |                                                |   |
|        |            | i |                                                |   |
|        |            | l |                                                |   |
|        |            | i |                                                |   |
|        |            | t |                                                |   |
|        |            | y |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | i |                                                |   |
|        |            | m |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | w |                                                |   |
|        |            | a |                                                |   |
|        |            | s |                                                |   |
|        |            | u |                                                |   |
|        |            | s |                                                |   |
|        |            | e |                                                |   |
|        |            | d |                                                |   |
|        |            | t |                                                |   |
|        |            | o |                                                |   |
|        |            | c |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | c |                                                |   |
|        |            | u |                                                |   |
|        |            | l |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | S |                                                |   |
|        |            | E |                                                |   |
|        |            | M |                                                |   |
|        |            | ? |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | E93b       | W |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | e |                                                |   |
|        |            | S |                                                |   |
|        |            | E |                                                |   |
|        |            | M |                                                |   |
|        |            | s |                                                |   |
|        |            | p |                                                |   |
|        |            | r |                                                |   |
|        |            | o |                                                |   |
|        |            | v |                                                |   |
|        |            | i |                                                |   |
|        |            | d |                                                |   |
|        |            | e |                                                |   |
|        |            | d |                                                |   |
|        |            | f |                                                |   |
|        |            | o |                                                |   |
|        |            | r |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | l |                                                |   |
|        |            | c |                                                |   |
|        |            | u |                                                |   |
|        |            | t |                                                |   |
|        |            | - |                                                |   |
|        |            | p |                                                |   |
|        |            | o |                                                |   |
|        |            | i |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | s |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | o |                                                |   |
|        |            | n |                                                |   |
|        |            | g |                                                |   |
|        |            | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | c |                                                |   |
|        |            | o |                                                |   |
|        |            | r |                                                |   |
|        |            | e |                                                |   |
|        |            | c |                                                |   |
|        |            | o |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | i |                                                |   |
|        |            | n |                                                |   |
|        |            | u |                                                |   |
|        |            | u |                                                |   |
|        |            | m |                                                |   |
|        |            | ? |                                                |   |
+--------+------------+---+------------------------------------------------+---+
| 4.3    | E94        | W |                                                |   |
|        |            | h |                                                |   |
|        |            | o |                                                |   |
|        |            | w |                                                |   |
|        |            | a |                                                |   |
|        |            | s |                                                |   |
|        |            | i |                                                |   |
|        |            | n |                                                |   |
|        |            | v |                                                |   |
|        |            | o |                                                |   |
|        |            | l |                                                |   |
|        |            | v |                                                |   |
|        |            | e |                                                |   |
|        |            | d |                                                |   |
|        |            | i |                                                |   |
|        |            | n |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | s |                                                |   |
|        |            | u |                                                |   |
|        |            | r |                                                |   |
|        |            | i |                                                |   |
|        |            | n |                                                |   |
|        |            | g |                                                |   |
|        |            | f |                                                |   |
|        |            | a |                                                |   |
|        |            | i |                                                |   |
|        |            | r |                                                |   |
|        |            | n |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | s |                                                |   |
|        |            | i |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | d |                                                |   |
|        |            | e |                                                |   |
|        |            | v |                                                |   |
|        |            | e |                                                |   |
|        |            | l |                                                |   |
|        |            | o |                                                |   |
|        |            | p |                                                |   |
|        |            | m |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | o |                                                |   |
|        |            | f |                                                |   |
|        |            | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | s |                                                |   |
|        |            | s |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | s |                                                |   |
|        |            | m |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | b |                                                |   |
|        |            | a |                                                |   |
|        |            | s |                                                |   |
|        |            | e |                                                |   |
|        |            | d |                                                |   |
|        |            | o |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | c |                                                |   |
|        |            | h |                                                |   |
|        |            | i |                                                |   |
|        |            | e |                                                |   |
|        |            | v |                                                |   |
|        |            | e |                                                |   |
|        |            | m |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | n |                                                |   |
|        |            | d |                                                |   |
|        |            | a |                                                |   |
|        |            | r |                                                |   |
|        |            | d |                                                |   |
|        |            | s |                                                |   |
|        |            | ? |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | Response   | \ |                                                |   |
|        | choice     | * |                                                |   |
|        |            | G |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | e |                                                |   |
|        |            | d |                                                |   |
|        |            | u |                                                |   |
|        |            | c |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | o |                                                |   |
|        |            | r |                                                |   |
|        |            | s |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | Response   | \ |                                                |   |
|        | choice     | * |                                                |   |
|        |            | P |                                                |   |
|        |            | a |                                                |   |
|        |            | r |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | s |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | Response   | \ |                                                |   |
|        | choice     | * |                                                |   |
|        |            | T |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | v |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | d |                                                |   |
|        |            | o |                                                |   |
|        |            | r |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | Response   | \ |                                                |   |
|        | choice     | * |                                                |   |
|        |            | S |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | p |                                                |   |
|        |            | e |                                                |   |
|        |            | c |                                                |   |
|        |            | i |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | e |                                                |   |
|        |            | d |                                                |   |
|        |            | u |                                                |   |
|        |            | c |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | i |                                                |   |
|        |            | o |                                                |   |
|        |            | n |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | f |                                                |   |
|        |            | f |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | Response   | \ |                                                |   |
|        | choice     | * |                                                |   |
|        |            | S |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | s |                                                |   |
|        |            | s |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | s |                                                |   |
|        |            | m |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | f |                                                |   |
|        |            | f |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | Response   | \ |                                                |   |
|        | choice     | * |                                                |   |
|        |            | S |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | i |                                                |   |
|        |            | n |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | r |                                                |   |
|        |            | u |                                                |   |
|        |            | c |                                                |   |
|        |            | t |                                                |   |
|        |            | i |                                                |   |
|        |            | o |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | n |                                                |   |
|        |            | d |                                                |   |
|        |            | c |                                                |   |
|        |            | u |                                                |   |
|        |            | r |                                                |   |
|        |            | r |                                                |   |
|        |            | i |                                                |   |
|        |            | c |                                                |   |
|        |            | u |                                                |   |
|        |            | l |                                                |   |
|        |            | u |                                                |   |
|        |            | m |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | f |                                                |   |
|        |            | f |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | Response   | \ |                                                |   |
|        | choice     | * |                                                |   |
|        |            | O |                                                |   |
|        |            | u |                                                |   |
|        |            | t |                                                |   |
|        |            | s |                                                |   |
|        |            | i |                                                |   |
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|        |            | x |                                                |   |
|        |            | p |                                                |   |
|        |            | e |                                                |   |
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|        |            | t |                                                |   |
|        |            | s |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | Response   | \ |                                                |   |
|        | choice     | * |                                                |   |
|        |            | S |                                                |   |
|        |            | p |                                                |   |
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|        |            | r |                                                |   |
|        |            | s |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | Response   | \ |                                                |   |
|        | choice     | * |                                                |   |
|        |            | C |                                                |   |
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|        |            | n |                                                |   |
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|        |            | t |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | Response   | \ |                                                |   |
|        | choice     | * |                                                |   |
|        |            | O |                                                |   |
|        |            | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
+--------+------------+---+------------------------------------------------+---+
| 4.3    | E95        | W |                                                |   |
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+--------+------------+---+------------------------------------------------+---+
|        | Response   | \ |                                                |   |
|        | options    | * |                                                |   |
|        |            | D |                                                |   |
|        |            | I |                                                |   |
|        |            | F |                                                |   |
|        |            | a |                                                |   |
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+--------+------------+---+------------------------------------------------+---+
|        | Response   | \ |                                                |   |
|        | options    | * |                                                |   |
|        |            | B |                                                |   |
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|        |            | s |                                                |   |
+--------+------------+---+------------------------------------------------+---+
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+--------+------------+---+------------------------------------------------+---+
| **Peer | **Item     | * |                                                |   |
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+--------+------------+---+------------------------------------------------+---+
| 4.5    | E102       | W |                                                |   |
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+--------+------------+---+------------------------------------------------+---+
|        | Response   | \ |                                                |   |
|        | choice     | * |                                                |   |
|        |            | G |                                                |   |
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|        |            | r |                                                |   |
|        |            | s |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | Response   | \ |                                                |   |
|        | choice     | * |                                                |   |
|        |            | P |                                                |   |
|        |            | a |                                                |   |
|        |            | r |                                                |   |
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|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | s |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | Response   | \ |                                                |   |
|        | choice     | * |                                                |   |
|        |            | T |                                                |   |
|        |            | e |                                                |   |
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+--------+------------+---+------------------------------------------------+---+
|        | Response   | \ |                                                |   |
|        | choice     | * |                                                |   |
|        |            | S |                                                |   |
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|        |            | f |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | Response   | \ |                                                |   |
|        | choice     | * |                                                |   |
|        |            | S |                                                |   |
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|        |            | a |                                                |   |
|        |            | f |                                                |   |
|        |            | f |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | Response   | \ |                                                |   |
|        | choice     | * |                                                |   |
|        |            | S |                                                |   |
|        |            | t |                                                |   |
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|        |            | n |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | r |                                                |   |
|        |            | u |                                                |   |
|        |            | c |                                                |   |
|        |            | t |                                                |   |
|        |            | i |                                                |   |
|        |            | o |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | n |                                                |   |
|        |            | d |                                                |   |
|        |            | c |                                                |   |
|        |            | u |                                                |   |
|        |            | r |                                                |   |
|        |            | r |                                                |   |
|        |            | i |                                                |   |
|        |            | c |                                                |   |
|        |            | u |                                                |   |
|        |            | l |                                                |   |
|        |            | u |                                                |   |
|        |            | m |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | f |                                                |   |
|        |            | f |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | Response   | \ |                                                |   |
|        | choice     | * |                                                |   |
|        |            | O |                                                |   |
|        |            | u |                                                |   |
|        |            | t |                                                |   |
|        |            | s |                                                |   |
|        |            | i |                                                |   |
|        |            | d |                                                |   |
|        |            | e |                                                |   |
|        |            | e |                                                |   |
|        |            | x |                                                |   |
|        |            | p |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | t |                                                |   |
|        |            | s |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | Response   | \ |                                                |   |
|        | choice     | * |                                                |   |
|        |            | S |                                                |   |
|        |            | p |                                                |   |
|        |            | e |                                                |   |
|        |            | c |                                                |   |
|        |            | i |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | e |                                                |   |
|        |            | d |                                                |   |
|        |            | u |                                                |   |
|        |            | c |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | o |                                                |   |
|        |            | r |                                                |   |
|        |            | s |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | Response   | \ |                                                |   |
|        | choice     | * |                                                |   |
|        |            | C |                                                |   |
|        |            | o |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | s |                                                |   |
|        |            | p |                                                |   |
|        |            | e |                                                |   |
|        |            | c |                                                |   |
|        |            | i |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | i |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | Response   | \ |                                                |   |
|        | choice     | * |                                                |   |
|        |            | O |                                                |   |
|        |            | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
+--------+------------+---+------------------------------------------------+---+
| 4.5    | E102b      | H |                                                |   |
|        |            | a |                                                |   |
|        | Yes/No     | v |                                                |   |
|        | option     | e |                                                |   |
|        |            | c |                                                |   |
|        |            | r |                                                |   |
|        |            | i |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | i |                                                |   |
|        |            | a |                                                |   |
|        |            | b |                                                |   |
|        |            | e |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | b |                                                |   |
|        |            | l |                                                |   |
|        |            | i |                                                |   |
|        |            | s |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | d |                                                |   |
|        |            | f |                                                |   |
|        |            | o |                                                |   |
|        |            | r |                                                |   |
|        |            | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | d |                                                |   |
|        |            | m |                                                |   |
|        |            | i |                                                |   |
|        |            | n |                                                |   |
|        |            | i |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | r |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | i |                                                |   |
|        |            | o |                                                |   |
|        |            | n |                                                |   |
|        |            | o |                                                |   |
|        |            | f |                                                |   |
|        |            | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | s |                                                |   |
|        |            | s |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | s |                                                |   |
|        |            | m |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | b |                                                |   |
|        |            | a |                                                |   |
|        |            | s |                                                |   |
|        |            | e |                                                |   |
|        |            | d |                                                |   |
|        |            | o |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | c |                                                |   |
|        |            | h |                                                |   |
|        |            | i |                                                |   |
|        |            | e |                                                |   |
|        |            | v |                                                |   |
|        |            | e |                                                |   |
|        |            | m |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | n |                                                |   |
|        |            | d |                                                |   |
|        |            | a |                                                |   |
|        |            | r |                                                |   |
|        |            | d |                                                |   |
|        |            | s |                                                |   |
|        |            | ? |                                                |   |
+--------+------------+---+------------------------------------------------+---+
| If     |            |   |                                                |   |
| yes,   |            |   |                                                |   |
| ask    |            |   |                                                |   |
| E      |            |   |                                                |   |
| 102b1, |            |   |                                                |   |
| else   |            |   |                                                |   |
| go to  |            |   |                                                |   |
| E102c  |            |   |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | E102b1     | D |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | c |                                                |   |
|        |            | r |                                                |   |
|        |            | i |                                                |   |
|        |            | b |                                                |   |
|        |            | e |                                                |   |
|        |            | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | c |                                                |   |
|        |            | r |                                                |   |
|        |            | i |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | i |                                                |   |
|        |            | a |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | b |                                                |   |
|        |            | l |                                                |   |
|        |            | i |                                                |   |
|        |            | s |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | d |                                                |   |
|        |            | f |                                                |   |
|        |            | o |                                                |   |
|        |            | r |                                                |   |
|        |            | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | d |                                                |   |
|        |            | m |                                                |   |
|        |            | i |                                                |   |
|        |            | n |                                                |   |
|        |            | i |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | r |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | i |                                                |   |
|        |            | o |                                                |   |
|        |            | n |                                                |   |
|        |            | o |                                                |   |
|        |            | f |                                                |   |
|        |            | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | s |                                                |   |
|        |            | s |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | s |                                                |   |
|        |            | m |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | b |                                                |   |
|        |            | a |                                                |   |
|        |            | s |                                                |   |
|        |            | e |                                                |   |
|        |            | d |                                                |   |
|        |            | o |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | c |                                                |   |
|        |            | h |                                                |   |
|        |            | i |                                                |   |
|        |            | e |                                                |   |
|        |            | v |                                                |   |
|        |            | e |                                                |   |
|        |            | m |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | n |                                                |   |
|        |            | d |                                                |   |
|        |            | a |                                                |   |
|        |            | r |                                                |   |
|        |            | d |                                                |   |
|        |            | s |                                                |   |
|        |            | ? |                                                |   |
+--------+------------+---+------------------------------------------------+---+
| 4.5    | E102c      | H |                                                |   |
|        |            | a |                                                |   |
|        | Yes/No     | v |                                                |   |
|        | option     | e |                                                |   |
|        |            | c |                                                |   |
|        |            | r |                                                |   |
|        |            | i |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | i |                                                |   |
|        |            | a |                                                |   |
|        |            | b |                                                |   |
|        |            | e |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | b |                                                |   |
|        |            | l |                                                |   |
|        |            | i |                                                |   |
|        |            | s |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | d |                                                |   |
|        |            | f |                                                |   |
|        |            | o |                                                |   |
|        |            | r |                                                |   |
|        |            | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | c |                                                |   |
|        |            | o |                                                |   |
|        |            | r |                                                |   |
|        |            | i |                                                |   |
|        |            | n |                                                |   |
|        |            | g |                                                |   |
|        |            | o |                                                |   |
|        |            | f |                                                |   |
|        |            | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | s |                                                |   |
|        |            | s |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | s |                                                |   |
|        |            | m |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | b |                                                |   |
|        |            | a |                                                |   |
|        |            | s |                                                |   |
|        |            | e |                                                |   |
|        |            | d |                                                |   |
|        |            | o |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | c |                                                |   |
|        |            | h |                                                |   |
|        |            | i |                                                |   |
|        |            | e |                                                |   |
|        |            | v |                                                |   |
|        |            | e |                                                |   |
|        |            | m |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | n |                                                |   |
|        |            | d |                                                |   |
|        |            | a |                                                |   |
|        |            | r |                                                |   |
|        |            | d |                                                |   |
|        |            | s |                                                |   |
|        |            | ? |                                                |   |
+--------+------------+---+------------------------------------------------+---+
| If     |            |   |                                                |   |
| yes,   |            |   |                                                |   |
| ask    |            |   |                                                |   |
| E      |            |   |                                                |   |
| 102c1, |            |   |                                                |   |
| else   |            |   |                                                |   |
| go to  |            |   |                                                |   |
| E102d  |            |   |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | E102c1     | D |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | c |                                                |   |
|        |            | r |                                                |   |
|        |            | i |                                                |   |
|        |            | b |                                                |   |
|        |            | e |                                                |   |
|        |            | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | c |                                                |   |
|        |            | r |                                                |   |
|        |            | i |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | i |                                                |   |
|        |            | a |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | b |                                                |   |
|        |            | l |                                                |   |
|        |            | i |                                                |   |
|        |            | s |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | d |                                                |   |
|        |            | f |                                                |   |
|        |            | o |                                                |   |
|        |            | r |                                                |   |
|        |            | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | c |                                                |   |
|        |            | o |                                                |   |
|        |            | r |                                                |   |
|        |            | i |                                                |   |
|        |            | n |                                                |   |
|        |            | g |                                                |   |
|        |            | o |                                                |   |
|        |            | f |                                                |   |
|        |            | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | s |                                                |   |
|        |            | s |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | s |                                                |   |
|        |            | m |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | b |                                                |   |
|        |            | a |                                                |   |
|        |            | s |                                                |   |
|        |            | e |                                                |   |
|        |            | d |                                                |   |
|        |            | o |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | c |                                                |   |
|        |            | h |                                                |   |
|        |            | i |                                                |   |
|        |            | e |                                                |   |
|        |            | v |                                                |   |
|        |            | e |                                                |   |
|        |            | m |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | n |                                                |   |
|        |            | d |                                                |   |
|        |            | a |                                                |   |
|        |            | r |                                                |   |
|        |            | d |                                                |   |
|        |            | s |                                                |   |
|        |            | ? |                                                |   |
+--------+------------+---+------------------------------------------------+---+
| 4.5    | E102e      | H |                                                |   |
|        |            | a |                                                |   |
|        | Yes/No     | v |                                                |   |
|        | option     | e |                                                |   |
|        |            | c |                                                |   |
|        |            | r |                                                |   |
|        |            | i |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | i |                                                |   |
|        |            | a |                                                |   |
|        |            | b |                                                |   |
|        |            | e |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | b |                                                |   |
|        |            | l |                                                |   |
|        |            | i |                                                |   |
|        |            | s |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | d |                                                |   |
|        |            | f |                                                |   |
|        |            | o |                                                |   |
|        |            | r |                                                |   |
|        |            | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | e |                                                |   |
|        |            | p |                                                |   |
|        |            | o |                                                |   |
|        |            | r |                                                |   |
|        |            | t |                                                |   |
|        |            | i |                                                |   |
|        |            | n |                                                |   |
|        |            | g |                                                |   |
|        |            | o |                                                |   |
|        |            | f |                                                |   |
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|        |            | e |                                                |   |
|        |            | a |                                                |   |
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|        |            | n |                                                |   |
|        |            | a |                                                |   |
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|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | s |                                                |   |
|        |            | s |                                                |   |
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|        |            | s |                                                |   |
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|        |            | a |                                                |   |
|        |            | s |                                                |   |
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|        |            | d |                                                |   |
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|        |            | r |                                                |   |
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|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | c |                                                |   |
|        |            | h |                                                |   |
|        |            | i |                                                |   |
|        |            | e |                                                |   |
|        |            | v |                                                |   |
|        |            | e |                                                |   |
|        |            | m |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | n |                                                |   |
|        |            | d |                                                |   |
|        |            | a |                                                |   |
|        |            | r |                                                |   |
|        |            | d |                                                |   |
|        |            | s |                                                |   |
|        |            | ? |                                                |   |
+--------+------------+---+------------------------------------------------+---+
| If     |            |   |                                                |   |
| yes,   |            |   |                                                |   |
| ask    |            |   |                                                |   |
| E      |            |   |                                                |   |
| 102e1, |            |   |                                                |   |
| else   |            |   |                                                |   |
| go to  |            |   |                                                |   |
| E103   |            |   |                                                |   |
+--------+------------+---+------------------------------------------------+---+
|        | E102e1     | D |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | c |                                                |   |
|        |            | r |                                                |   |
|        |            | i |                                                |   |
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|        |            | e |                                                |   |
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|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | c |                                                |   |
|        |            | r |                                                |   |
|        |            | i |                                                |   |
|        |            | t |                                                |   |
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|        |            | r |                                                |   |
|        |            | i |                                                |   |
|        |            | a |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | b |                                                |   |
|        |            | l |                                                |   |
|        |            | i |                                                |   |
|        |            | s |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | d |                                                |   |
|        |            | f |                                                |   |
|        |            | o |                                                |   |
|        |            | r |                                                |   |
|        |            | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | e |                                                |   |
|        |            | p |                                                |   |
|        |            | o |                                                |   |
|        |            | r |                                                |   |
|        |            | t |                                                |   |
|        |            | i |                                                |   |
|        |            | n |                                                |   |
|        |            | g |                                                |   |
|        |            | o |                                                |   |
|        |            | f |                                                |   |
|        |            | t |                                                |   |
|        |            | h |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | s |                                                |   |
|        |            | s |                                                |   |
|        |            | e |                                                |   |
|        |            | s |                                                |   |
|        |            | s |                                                |   |
|        |            | m |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | b |                                                |   |
|        |            | a |                                                |   |
|        |            | s |                                                |   |
|        |            | e |                                                |   |
|        |            | d |                                                |   |
|        |            | o |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | l |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | r |                                                |   |
|        |            | n |                                                |   |
|        |            | a |                                                |   |
|        |            | t |                                                |   |
|        |            | e |                                                |   |
|        |            | a |                                                |   |
|        |            | c |                                                |   |
|        |            | h |                                                |   |
|        |            | i |                                                |   |
|        |            | e |                                                |   |
|        |            | v |                                                |   |
|        |            | e |                                                |   |
|        |            | m |                                                |   |
|        |            | e |                                                |   |
|        |            | n |                                                |   |
|        |            | t |                                                |   |
|        |            | s |                                                |   |
|        |            | t |                                                |   |
|        |            | a |                                                |   |
|        |            | n |                                                |   |
|        |            | d |                                                |   |
|        |            | a |                                                |   |
|        |            | r |                                                |   |
|        |            | d |                                                |   |
|        |            | s |                                                |   |
|        |            | ? |                                                |   |
+--------+------------+---+------------------------------------------------+---+

+--------+------------+------------------------------------------------+---+
| **Peer | **Item     | **Question**                                   |   |
| Review | Number/**  |                                                |   |
| Refer  |            | **Section E: Technical Quality**               |   |
| ence** | **Response |                                                |   |
|        | Choice**   |                                                |   |
+--------+------------+------------------------------------------------+---+
| 4.5    | E103       | On which of the following topics does the      |   |
|        |            | state provide information to districts about   |   |
|        |            | conducting the alternate assessment based on   |   |
|        |            | alternate achievement standards?               |   |
+--------+------------+------------------------------------------------+---+
|        | Response   | \* Implementation procedures and requirements  |   |
|        | option     |                                                |   |
+--------+------------+------------------------------------------------+---+
|        | Response   | \* Criteria of selecting students to be        |   |
|        | option     | assessed by different types of alternate       |   |
|        |            | assessments                                    |   |
+--------+------------+------------------------------------------------+---+
|        | Response   | \* Procedures for monitoring assessment        |   |
|        | option     | administration                                 |   |
+--------+------------+------------------------------------------------+---+
|        | Response   | \* Criteria on which scores will be based      |   |
|        | option     |                                                |   |
+--------+------------+------------------------------------------------+---+
|        | Response   | \* Other                                       |   |
|        | option     |                                                |   |
+--------+------------+------------------------------------------------+---+
| 4.5    | E105       | What procedures are in place to monitor        |   |
|        |            | quality control and the consistency with which |   |
|        |            | the alternate assessment based on alternate    |   |
|        |            | achievement standards is administered?         |   |
+--------+------------+------------------------------------------------+---+
| 4.6    | E107       | Describe any plans the state has for           |   |
|        |            | maintaining and improving the technical        |   |
|        |            | adequacy of its alternate assessments based on |   |
|        |            | alternate achievement standards.               |   |
+--------+------------+------------------------------------------------+---+
| 4.5    | E108       | Who scores the alternate assessment based on   |   |
|        |            | alternate achievement standards?               |   |
+--------+------------+------------------------------------------------+---+
|        | Response   | \* General education content area specialist   |   |
|        | option     |                                                |   |
+--------+------------+------------------------------------------------+---+
|        | Response   | \* Special educator                            |   |
|        | option     |                                                |   |
+--------+------------+------------------------------------------------+---+
|        | Response   | \* Special education department staff          |   |
|        | option     |                                                |   |
+--------+------------+------------------------------------------------+---+
|        | Response   | \* Paraprofessional                            |   |
|        | option     |                                                |   |
+--------+------------+------------------------------------------------+---+
|        | Response   | \* Test contractors                            |   |
|        | option     |                                                |   |
+--------+------------+------------------------------------------------+---+
|        | E108a      | Is each alternate assessment based on          |   |
|        |            | alternate achievement standards scored by more |   |
|        |            | than one scorer?                               |   |
+--------+------------+------------------------------------------------+---+
|        | E108b      | Is the scorer(s) trained for scoring the       |   |
|        |            | alternate assessment based on alternate        |   |
|        |            | achievement standards?                         |   |
+--------+------------+------------------------------------------------+---+
|        | E108c      | Can the scorer be familiar with the student    |   |
|        |            | whose alternate assessment based on alternate  |   |
|        |            | achievement standards he/she is scoring?       |   |
+--------+------------+------------------------------------------------+---+

+--------+------------+------------------------------------------------+---+
| **Peer | **Item     | **Question**                                   |   |
| Review | Number/**  |                                                |   |
| Refer  |            | **Section E: Technical Quality**               |   |
| ence** | **Response |                                                |   |
|        | Choice**   |                                                |   |
+--------+------------+------------------------------------------------+---+
|        | E108e      | Which of the following criteria -- definitions |   |
|        |            | of what assessment scores mean and how         |   |
|        |            | students**[ۥ]{dir="rtl"}** scores are          |   |
|        |            | evaluated -- has been adopted for scoring the  |   |
|        |            | alternate assessment based on alternate        |   |
|        |            | achievement?                                   |   |
+--------+------------+------------------------------------------------+---+
|        | Response   | \* The state is in the process of              |   |
|        | option     | developing/revising the scoring criteria       |   |
+--------+------------+------------------------------------------------+---+
|        | Response   | \* Student criteria                            |   |
|        | option     |                                                |   |
+--------+------------+------------------------------------------------+---+
|        |            | \-\-\-- Accuracy of student response           |   |
+--------+------------+------------------------------------------------+---+
|        |            | \-\-\-- Ability to generalize across settings  |   |
+--------+------------+------------------------------------------------+---+
|        |            | \-\-\-- Amount of independence                 |   |
+--------+------------+------------------------------------------------+---+
|        |            | \-\-\-- Amount of progress                     |   |
+--------+------------+------------------------------------------------+---+
|        | Response   | \* System criteria                             |   |
|        | option     |                                                |   |
+--------+------------+------------------------------------------------+---+
|        |            | \-\-\-- Instruction in multiple settings       |   |
+--------+------------+------------------------------------------------+---+
|        |            | \-\-\-- Opportunities to plan, monitor, and    |   |
|        |            | evaluate their work                            |   |
+--------+------------+------------------------------------------------+---+
|        |            | \-\-\-- Work with nondisabled peers            |   |
+--------+------------+------------------------------------------------+---+
|        |            | \-\-\-- Appropriate human and technological    |   |
|        |            | supports                                       |   |
+--------+------------+------------------------------------------------+---+
| 4.6    | E109a      | Are accommodations allowed for students with   |   |
|        |            | significant cognitive disabilities to          |   |
|        |            | participate on the alternate assessment based  |   |
|        |            | on alternate achievement standards?            |   |
+--------+------------+------------------------------------------------+---+
| If     |            |                                                |   |
| yes,   |            |                                                |   |
| ask    |            |                                                |   |
| E109b, |            |                                                |   |
| else   |            |                                                |   |
| ask    |            |                                                |   |
| F19.   |            |                                                |   |
+--------+------------+------------------------------------------------+---+
| 4.6    | E109b      | What accommodations are allowed?               |   |
+--------+------------+------------------------------------------------+---+

Section F: Alignment

+--------+------------+------------------------------------------------+
| **Peer | **Item     | **Question**                                   |
| Review | Number/**  |                                                |
| Refer  |            | **Section F: Alignment**                       |
| ence** | **Response |                                                |
|        | Choice**   |                                                |
+--------+------------+------------------------------------------------+
| 5.1    | F19        | Who was involved in the alignment of the       |
|        |            | alternate assessment with the State content    |
|        |            | standards and alternate achievement standards? |
+--------+------------+------------------------------------------------+
|        | Response   | \* General educators                           |
|        | choice     |                                                |
+--------+------------+------------------------------------------------+
|        | Response   | \* Parents                                     |
|        | choice     |                                                |
+--------+------------+------------------------------------------------+
|        | Response   | \* Test vendor                                 |
|        | choice     |                                                |
+--------+------------+------------------------------------------------+
|        | Response   | \* State special education staff               |
|        | choice     |                                                |
+--------+------------+------------------------------------------------+
|        | Response   | \* State assessment staff                      |
|        | choice     |                                                |
+--------+------------+------------------------------------------------+
|        | Response   | \* State instruction and curriculum staff      |
|        | choice     |                                                |
+--------+------------+------------------------------------------------+
|        | Response   | \* Outside experts                             |
|        | choice     |                                                |
+--------+------------+------------------------------------------------+
|        | Response   | \* Special educators                           |
|        | choice     |                                                |
+--------+------------+------------------------------------------------+
|        | Response   | \* Content specialist                          |
|        | choice     |                                                |
+--------+------------+------------------------------------------------+
|        | Response   | \* Other                                       |
|        | choice     |                                                |
+--------+------------+------------------------------------------------+
| 5.2    | F21        | How did the state align its alternate          |
|        |            | achievement standards with the State content   |
|        |            | standards?                                     |
+--------+------------+------------------------------------------------+
| 5.2    | F22        | How was the process of aligning alternate      |
|        |            | achievement standards with the State content   |
|        |            | standards validated?                           |
+--------+------------+------------------------------------------------+
| 5.3    | F23        | Is the alternate assessment based on alternate |
|        |            | achievement standards aligned to content (what |
|        |            | students should know) and to process (how      |
|        |            | students do it)?                               |
+--------+------------+------------------------------------------------+
| 5.5    | F25        | How does the assessment yield scores that      |
|        |            | reflect the full range of achievement implied  |
|        |            | by the alternate achievement standards?        |
+--------+------------+------------------------------------------------+
| 5.7    | F26        | What ongoing procedures are used to maintain   |
|        |            | and improve alignment between the alternate    |
|        |            | assessment based on alternate achievement      |
|        |            | standards and state content standards over     |
|        |            | time?                                          |
+--------+------------+------------------------------------------------+
| []{    | Response   | \* Internal Alignment studies                  |
| .mark} | choice     |                                                |
+--------+------------+------------------------------------------------+
| []{    | Response   | \* External Alignment studies                  |
| .mark} | choice     |                                                |
+--------+------------+------------------------------------------------+
| []{    | Response   | \* Other                                       |
| .mark} | choice     |                                                |
+--------+------------+------------------------------------------------+

Section G: Inclusion

+--------+------------+------------------------------------------------+
| **Peer | **Item     | **Question**                                   |
| Review | Number/**  |                                                |
| Refer  |            | **Section G: Inclusion**                       |
| ence** | **Response |                                                |
|        | Choice**   |                                                |
+--------+------------+------------------------------------------------+
|        | G14        | What are the guidelines for IEP teams to apply |
|        |            | in determining when a child[ۥ]{dir="rtl"}s     |
|        |            | significant cognitive disability justifies     |
|        |            | alternate assessment based on alternate        |
|        |            | achievement standards?                         |
+--------+------------+------------------------------------------------+

Section H: Reporting

+--------+------------+------------------------------------------------+
| **Peer | **Item     | **Question**                                   |
| Review | Number/**  |                                                |
| Refer  |            | **Section H: Reporting**                       |
| ence** | **Response |                                                |
|        | Choice**   |                                                |
+--------+------------+------------------------------------------------+
| 7.3    | H9         | How has the state provided for the production  |
|        |            | of interpretive, descriptive, and diagnostic   |
|        |            | reports for individual students that indicate  |
|        |            | relative strengths and instructional needs?    |
+--------+------------+------------------------------------------------+
| 7.3    | H10        | How do the individual student reports express  |
|        |            | results?                                       |
+--------+------------+------------------------------------------------+
|        | Response   | \* State's achievement standards               |
|        | option     |                                                |
+--------+------------+------------------------------------------------+
|        | Response   | \* Numerical values such as scale scores       |
|        | option     |                                                |
+--------+------------+------------------------------------------------+
|        | Response   | \* Numerical values such as percentiles        |
|        | option     |                                                |
+--------+------------+------------------------------------------------+
| 7.3    | H13        | Are the individual student reports accompanied |
|        |            | by interpretive guidance for parents,          |
|        |            | teachers, and principals?                      |
+--------+------------+------------------------------------------------+
|        | Yes/No     | \* Parents                                     |
|        | option     |                                                |
+--------+------------+------------------------------------------------+
|        | Yes/No     | \* Teachers                                    |
|        | option     |                                                |
+--------+------------+------------------------------------------------+
|        | Yes/No     | \* Principals                                  |
|        | option     |                                                |
+--------+------------+------------------------------------------------+

**Data Summary/Interview Example**

**Instructions for Review of the Data Summary/Interview**

Thank you for agreeing to assist the National Study on Alternate
Assessments (NSAA) in producing an accurate representation of your
state's alternate assessment(s) for students with significant cognitive
disabilities. This NSAA \[INSERT STATE NAME\] Alternate Assessment Data
Summary/Interview reflects our best effort to understand your state's
alternate assessment system by reviewing your state's peer review
submission materials, as well as documents posted on your state's
Department of Education website. We now need your expertise to (1)
verify that these data and information accurately reflect the status of
your state's alternate assessment system for 2005-06 and (2) identify
where changes will occur for 2006-07.

The development of a complete Data Summary/Interview has two phases. In
Phase I, state officials in each state are asked to review and verify
the accuracy of the 2005-06 data and information we have collected and
to identify where changes have occurred or are to be implemented in the
2006-07 school year. In Phase II, telephone interviews will be conducted
to (1) correct inaccurate or incomplete data and information for 2005-06
and (2) discuss any changes that are being implemented in 2006-07.

**Phase I**

The data and information included in the attached document cover seven
topic areas from the study's document review process: overview of the
state's alternate assessment system, academic achievement standards,
statewide assessment system, technical quality of the alternate
assessment, alignment of the alternate assessment, inclusion of students
with significant cognitive disabilities, and reporting alternate
assessment results. In some cases, we have not been able to locate
information to answer a question; these items are marked "Unable to
locate." These questions will be addressed in the interview.

Because these questions span many different topic areas, it may be
necessary for several individuals to review this document. Please
identify the individuals involved in reviewing each section of the
document and include their contact information in the space provided
under each section heading.

On the Data Summary/Interview, indicate whether the data and information
are accurate and complete for the 2005-06 school year (check "Accurate
and Complete") or inaccurate and/or incomplete for the 2005-06 school
year (check "Not Accurate and/or Not Complete"). Also indicate whether
the data and information have changed or are expected to change for the
2006-07 school year (check "Information has changed for 2006-07 school
year").

You DO NOT need to provide a written explanation for any of the
questions. We will get the accurate and complete data and information
for 2005-06 and details about the changes in 2006-07 during the
interviews in Phase II. We are asking you only to select an answer from
the given response choices. However, we have provided space for you to
make notes for your convenience in preparation for the interview.

If more than one individual is involved in reviewing the data and
information in this Data Summary/Interview, please compile all
reviewers' responses into a single document. Please send a copy of the
Data Summary/Interview to SRI International via FedEx, using the
enclosed label. We would appreciate receiving it by \[DATE\]. This
information allows us to customize the interview.

**Phase II**

You will be contacted by \[NAME OF INTERVIEWER\] (\[INTERVIWER'S PHONE
NUMBER\]) to schedule interviews with individuals involved in reviewing
the Data Summary/Interview. The purpose of these interviews is to
address any inaccuracies and gather data and information on questions
for which we were unable to locate information, and to document changes
that are occurring in 2006-07. We must receive your completed review of
the Data Summary/Interview **1 week before** conducting the telephone
interview(s). We will customize the interview questions using the
information you provide in the check boxes on the Data
Summary/Interview. Retain a copy of the Data Summary/Interview with your
responses to refer to during the interview.

If you have any questions about the study, contact Renée Cameto, Project
Director for NSAA, at 650-859-6451 or at <renee.cameto@sri.com>.

Thank you again for your time, and we look forward to speaking with you.

+------------------------------------------+---------------------------+
| MARYLAND\                                |                           |
| Alternate Assessment\                    |                           |
| Data Summary / Interview                 |                           |
+------------------------------------------+---------------------------+
|                                          |                           |
+------------------------------------------+---------------------------+
| **Overview**                             |                           |
+------------------------------------------+---------------------------+
| **Co                                     | **Phone                   |
| mpleted By:** \_\_\_\_\_\_\_\_\_\_\_\_\_ | :** \_\_\_\_\_\_\_\_\_\_\ |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ | _\_\_\_\_\_\_\_\_\_\_\_\_ |
+------------------------------------------+---------------------------+
| **E-mail:**                              |                           |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |                           |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |                           |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |                           |
+------------------------------------------+---------------------------+
| **Co                                     | **Phone                   |
| mpleted By:** \_\_\_\_\_\_\_\_\_\_\_\_\_ | :** \_\_\_\_\_\_\_\_\_\_\ |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ | _\_\_\_\_\_\_\_\_\_\_\_\_ |
+------------------------------------------+---------------------------+
| **E-mail:**                              |                           |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |                           |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |                           |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |                           |
+------------------------------------------+---------------------------+
|   -------------------------------------  |                           |
|   **1. Assessment Title  (A1a)**         |                           |
|                                          |                           |
|   -------------------------------------  |                           |
+------------------------------------------+---------------------------+
|   -------------------------------------  |                           |
|   **Document Analysis Response:**\       |                           |
|   Alternate Maryland School Assessment   |                           |
|   (ALT-MSA)                              |                           |
|                                          |                           |
|   -------------------------------------  |                           |
+------------------------------------------+---------------------------+
|   ----------------                       |                           |
| ------- -------------------------------- |                           |
| -- ------------------------------------- |                           |
|   \_\_\_\_                \_\            |                           |
| _\_\_                           \_\_\_\_ |                           |
|   Accurate and C                         |                           |
| omplete   Not Accurate and/or Not Comple |                           |
| te   Information has changed for 2006-07 |                           |
|                                          |                           |
|                              school year |                           |
|                                          |                           |
|   ----------------                       |                           |
| ------- -------------------------------- |                           |
| -- ------------------------------------- |                           |
+------------------------------------------+---------------------------+
|   -------------------------------------  |                           |
|   Notes (for your convenience):\         |                           |
|   \                                      |                           |
|   \                                      |                           |
|   \                                      |                           |
|                                          |                           |
|                                          |                           |
|   -------------------------------------  |                           |
+------------------------------------------+---------------------------+
|   -------------------------------------  |                           |
|                                          |                           |
|                                          |                           |
|   -------------------------------------  |                           |
+------------------------------------------+---------------------------+
| \(81\)                                   |                           |
+------------------------------------------+---------------------------+
|                                          |                           |
+------------------------------------------+---------------------------+
|   -------------------------------------  |                           |
|   **2. Assessment Developer  (A1b)**     |                           |
|                                          |                           |
|   -------------------------------------  |                           |
+------------------------------------------+---------------------------+
|   -------------------------------------  |                           |
|   **Document Analysis Response:**\       |                           |
|   Major contributors to ALT-MSA:         |                           |
|   Maryland State Department of           |                           |
|   Education (MSDE), Pearson Education    |                           |
|   Measurement (PEM), Inclusive Large     |                           |
|   Scale Standards and Assessment         |                           |
|   (ILSSA), and an Advisory Committee     |                           |
|                                          |                           |
|   -------------------------------------  |                           |
+------------------------------------------+---------------------------+
|   ----------------                       |                           |
| ------- -------------------------------- |                           |
| -- ------------------------------------- |                           |
|   \_\_\_\_                \_\            |                           |
| _\_\_                           \_\_\_\_ |                           |
|   Accurate and C                         |                           |
| omplete   Not Accurate and/or Not Comple |                           |
| te   Information has changed for 2006-07 |                           |
|                                          |                           |
|                              school year |                           |
|                                          |                           |
|   ----------------                       |                           |
| ------- -------------------------------- |                           |
| -- ------------------------------------- |                           |
+------------------------------------------+---------------------------+
|   -------------------------------------  |                           |
|   Notes (for your convenience):\         |                           |
|   \                                      |                           |
|   \                                      |                           |
|   \                                      |                           |
|                                          |                           |
|                                          |                           |
|   -------------------------------------  |                           |
+------------------------------------------+---------------------------+
|   -------------------------------------  |                           |
|                                          |                           |
|                                          |                           |
|   -------------------------------------  |                           |
+------------------------------------------+---------------------------+
| \(82\)                                   |                           |
+------------------------------------------+---------------------------+

+-----------------------------------+-----------------------------------+
|                                   |                                   |
+-----------------------------------+-----------------------------------+
|   ------------------------------  |                                   |
|   **3. Content Area  (A1c)**      |                                   |
|                                   |                                   |
|   ------------------------------  |                                   |
+-----------------------------------+-----------------------------------+
| +------------------------------+  |                                   |
| | **Document Analysis          |  |                                   |
| | Response:**                  |  |                                   |
| |                              |  |                                   |
| |   -----                      |  |                                   |
| | ---------------- ----------- |  |                                   |
| | ---------- ----------------- |  |                                   |
| |   \_\                        |  |                                   |
| | _\_\_\_\_Unknown   \_\_X\_\_ |  |                                   |
| | \_Language   \_\_X\_\_\_Math |  |                                   |
| |                              |  |                                   |
| |       arts                   |  |                                   |
| |                              |  |                                   |
| |   \_\_\_\_\_\_Scie           |  |                                   |
| | nce   \_\_\_\_\_\_Social     |  |                                   |
| |                              |  |                                   |
| |       studies                |  |                                   |
| |   -----                      |  |                                   |
| | ---------------- ----------- |  |                                   |
| | ---------- ----------------- |  |                                   |
| +------------------------------+  |                                   |
+-----------------------------------+-----------------------------------+
|   ----------------------- ------  |                                   |
| ---------------------------- ---- |                                   |
| --------------------------------- |                                   |
|   \                               |                                   |
| _\_\_\_                \_\_\_\_   |                                   |
|                          \_\_\_\_ |                                   |
|   Accurate and Complete   Not     |                                   |
| Accurate and/or Not Complete   In |                                   |
| formation has changed for 2006-07 |                                   |
|                                   |                                   |
|                                   |                                   |
|                       school year |                                   |
|                                   |                                   |
|   ----------------------- ------  |                                   |
| ---------------------------- ---- |                                   |
| --------------------------------- |                                   |
+-----------------------------------+-----------------------------------+
|   ------------------------------  |                                   |
|   Notes (for your convenience):\  |                                   |
|   \                               |                                   |
|   \                               |                                   |
|   \                               |                                   |
|                                   |                                   |
|                                   |                                   |
|   ------------------------------  |                                   |
+-----------------------------------+-----------------------------------+
|   ------------------------------  |                                   |
|                                   |                                   |
|                                   |                                   |
|   ------------------------------  |                                   |
+-----------------------------------+-----------------------------------+
| \(83\)                            |                                   |
+-----------------------------------+-----------------------------------+
|                                   |                                   |
+-----------------------------------+-----------------------------------+
|   ------------------------------  |                                   |
|   **4. Type of Assessment         |                                   |
|    (A1d)**                        |                                   |
|                                   |                                   |
|   ------------------------------  |                                   |
+-----------------------------------+-----------------------------------+
| +------------------------------+  |                                   |
| | **Document Analysis          |  |                                   |
| | Response:**                  |  |                                   |
| |                              |  |                                   |
| |   ----------                 |  |                                   |
| | ----------- ---------------- |  |                                   |
| | ----- ---------------------- |  |                                   |
| |   \_\_\_\_                   |  |                                   |
| | \_\_Unknown   \_\_\_\_\_\_Re |  |                                   |
| | gular   \_\_X\_\_\_Alternate |  |                                   |
| |                         asse |  |                                   |
| | ssment            Assessment |  |                                   |
| |                              |  |                                   |
| |   ----------                 |  |                                   |
| | ----------- ---------------- |  |                                   |
| | ----- ---------------------- |  |                                   |
| +------------------------------+  |                                   |
+-----------------------------------+-----------------------------------+
|   ----------------------- ------  |                                   |
| ---------------------------- ---- |                                   |
| --------------------------------- |                                   |
|   \                               |                                   |
| _\_\_\_                \_\_\_\_   |                                   |
|                          \_\_\_\_ |                                   |
|   Accurate and Complete   Not     |                                   |
| Accurate and/or Not Complete   In |                                   |
| formation has changed for 2006-07 |                                   |
|                                   |                                   |
|                                   |                                   |
|                       school year |                                   |
|                                   |                                   |
|   ----------------------- ------  |                                   |
| ---------------------------- ---- |                                   |
| --------------------------------- |                                   |
+-----------------------------------+-----------------------------------+
|   ------------------------------  |                                   |
|   Notes (for your convenience):\  |                                   |
|   \                               |                                   |
|   \                               |                                   |
|   \                               |                                   |
|                                   |                                   |
|                                   |                                   |
|   ------------------------------  |                                   |
+-----------------------------------+-----------------------------------+
|   ------------------------------  |                                   |
|                                   |                                   |
|                                   |                                   |
|   ------------------------------  |                                   |
+-----------------------------------+-----------------------------------+
| \(84\)                            |                                   |
+-----------------------------------+-----------------------------------+

+-----------------------------------+-----------------------------------+
|                                   |                                   |
+-----------------------------------+-----------------------------------+
|   ------------------------------  |                                   |
|   **5. Purpose of Assessment      |                                   |
|    (A1e)**                        |                                   |
|                                   |                                   |
|   ------------------------------  |                                   |
+-----------------------------------+-----------------------------------+
|   ------------------------------  |                                   |
|   **Document Analysis             |                                   |
|   Response:**\                    |                                   |
|   To fulfill NCLB testing         |                                   |
|   requirements and IDEA           |                                   |
|   requirements.                   |                                   |
|                                   |                                   |
|   ------------------------------  |                                   |
+-----------------------------------+-----------------------------------+
|   ----------------------- ------  |                                   |
| ---------------------------- ---- |                                   |
| --------------------------------- |                                   |
|   \                               |                                   |
| _\_\_\_                \_\_\_\_   |                                   |
|                          \_\_\_\_ |                                   |
|   Accurate and Complete   Not     |                                   |
| Accurate and/or Not Complete   In |                                   |
| formation has changed for 2006-07 |                                   |
|                                   |                                   |
|                                   |                                   |
|                       school year |                                   |
|                                   |                                   |
|   ----------------------- ------  |                                   |
| ---------------------------- ---- |                                   |
| --------------------------------- |                                   |
+-----------------------------------+-----------------------------------+
|   ------------------------------  |                                   |
|   Notes (for your convenience):\  |                                   |
|   \                               |                                   |
|   \                               |                                   |
|   \                               |                                   |
|                                   |                                   |
|                                   |                                   |
|   ------------------------------  |                                   |
+-----------------------------------+-----------------------------------+
|   ------------------------------  |                                   |
|                                   |                                   |
|                                   |                                   |
|   ------------------------------  |                                   |
+-----------------------------------+-----------------------------------+
| \(85\)                            |                                   |
+-----------------------------------+-----------------------------------+
|                                   |                                   |
+-----------------------------------+-----------------------------------+
|   ------------------------------  |                                   |
|   **6. Type of achievement        |                                   |
|   standard on which assessment    |                                   |
|   is based  (A2)**                |                                   |
|                                   |                                   |
|   ------------------------------  |                                   |
+-----------------------------------+-----------------------------------+
| +------------------------------+  |                                   |
| | Document Analysis Response:  |  |                                   |
| |                              |  |                                   |
| |   ---------                  |  |                                   |
| | ------------- -------------- |  |                                   |
| | ----- ---------------------- |  |                                   |
| |                              |  |                                   |
| |                              |  |                                   |
| |                              |  |                                   |
| |   \_\_\_\                    |  |                                   |
| | _\_\_Unknown    \_\_\_\_\_\_ |  |                                   |
| | Grade   \_\_\_\_\_\_Modified |  |                                   |
| |                              |  |                                   |
| |         level                |  |                                   |
| |                              |  |                                   |
| |   \_\_X\_\_\_Alte            |  |                                   |
| | rnate                        |  |                                   |
| |   ---------                  |  |                                   |
| | ------------- -------------- |  |                                   |
| | ----- ---------------------- |  |                                   |
| +------------------------------+  |                                   |
+-----------------------------------+-----------------------------------+
|   ----------------------- ------  |                                   |
| ---------------------------- ---- |                                   |
| --------------------------------- |                                   |
|   \                               |                                   |
| _\_\_\_                \_\_\_\_   |                                   |
|                          \_\_\_\_ |                                   |
|   Accurate and Complete   Not     |                                   |
| Accurate and/or Not Complete   In |                                   |
| formation has changed for 2006-07 |                                   |
|                                   |                                   |
|                                   |                                   |
|                       school year |                                   |
|                                   |                                   |
|   ----------------------- ------  |                                   |
| ---------------------------- ---- |                                   |
| --------------------------------- |                                   |
+-----------------------------------+-----------------------------------+
|   ------------------------------  |                                   |
|   Notes (for your convenience):\  |                                   |
|   \                               |                                   |
|   \                               |                                   |
|   \                               |                                   |
|                                   |                                   |
|                                   |                                   |
|   ------------------------------  |                                   |
+-----------------------------------+-----------------------------------+
|   ------------------------------  |                                   |
|                                   |                                   |
|                                   |                                   |
|   ------------------------------  |                                   |
+-----------------------------------+-----------------------------------+
| \(86\)                            |                                   |
+-----------------------------------+-----------------------------------+

+-----------------------------------+-----------------------------------+
|                                   |                                   |
+-----------------------------------+-----------------------------------+
|   ------------------------------  |                                   |
|   **7. Grades in which each       |                                   |
|   assessment was used in 2005-06  |                                   |
|    (A3)**                         |                                   |
|                                   |                                   |
|   ------------------------------  |                                   |
+-----------------------------------+-----------------------------------+
| +------------------------------+  |                                   |
| | Document Analysis Response:  |  |                                   |
| |                              |  |                                   |
| |   ---                        |  |                                   |
| | ------------------- -------- |  |                                   |
| | ----------- ---------------- |  |                                   |
| |                              |  |                                   |
| |                              |  |                                   |
| |                              |  |                                   |
| |                              |  |                                   |
| | \_\_\_\_\_\_Unknown    \_\_\ |  |                                   |
| | _\_\_\_Pre-K   \_\_\_\_\_\_1 |  |                                   |
| |                              |  |                                   |
| |         or K                 |  |                                   |
| |                              |  |                                   |
| |                              |  |                                   |
| |  \_\_\_\_\_\_2          \_\_ |  |                                   |
| | X\_\_\_3        \_\_X\_\_\_4 |  |                                   |
| |                              |  |                                   |
| |                              |  |                                   |
| |  \_\_X\_\_\_5           \_\_ |  |                                   |
| | X\_\_\_6        \_\_X\_\_\_7 |  |                                   |
| |                              |  |                                   |
| |                              |  |                                   |
| | \_\_X\_\_\_8           \_\_\ |  |                                   |
| | _\_\_\_9       \_\_X\_\_\_10 |  |                                   |
| |                              |  |                                   |
| |   \                          |  |                                   |
| | _\_\_\_\_\_11         \_\_\_ |  |                                   |
| | \_\_\_12      \_\_\_\_\_\_13 |  |                                   |
| |                              |  |                                   |
| |   \_\_\_\_\_\_Ung            |  |                                   |
| | raded                        |  |                                   |
| |   ---                        |  |                                   |
| | ------------------- -------- |  |                                   |
| | ----------- ---------------- |  |                                   |
| +------------------------------+  |                                   |
+-----------------------------------+-----------------------------------+
|   ----------------------- ------  |                                   |
| ---------------------------- ---- |                                   |
| --------------------------------- |                                   |
|   \                               |                                   |
| _\_\_\_                \_\_\_\_   |                                   |
|                          \_\_\_\_ |                                   |
|   Accurate and Complete   Not     |                                   |
| Accurate and/or Not Complete   In |                                   |
| formation has changed for 2006-07 |                                   |
|                                   |                                   |
|                                   |                                   |
|                       school year |                                   |
|                                   |                                   |
|   ----------------------- ------  |                                   |
| ---------------------------- ---- |                                   |
| --------------------------------- |                                   |
+-----------------------------------+-----------------------------------+
|   ------------------------------  |                                   |
|   Notes (for your convenience):\  |                                   |
|   \                               |                                   |
|   \                               |                                   |
|   \                               |                                   |
|                                   |                                   |
|                                   |                                   |
|   ------------------------------  |                                   |
+-----------------------------------+-----------------------------------+
|   ------------------------------  |                                   |
|                                   |                                   |
|                                   |                                   |
|   ------------------------------  |                                   |
+-----------------------------------+-----------------------------------+
| \(87\)                            |                                   |
+-----------------------------------+-----------------------------------+
|                                   |                                   |
+-----------------------------------+-----------------------------------+
|   ------------------------------  |                                   |
|   **8. Code the type of           |                                   |
|   assessment approaches using     |                                   |
|   the list below  (A4)**          |                                   |
|                                   |                                   |
|   ------------------------------  |                                   |
+-----------------------------------+-----------------------------------+
| +------------------------------+  |                                   |
| | **Document Analysis          |  |                                   |
| | Response:**                  |  |                                   |
| |                              |  |                                   |
| |   -------------------        |  |                                   |
| | ----- ---------------------- |  |                                   |
| |  --------------------------- |  |                                   |
| |   \_\_\_\_\_\_Unkno          |  |                                   |
| | wn      \_\_\_\_\_\_Rating   |  |                                   |
| |    \_\_X\_\_\_Portfolio/Body |  |                                   |
| |                              |  |                                   |
| |                       scale/ |  |                                   |
| | checklist        of evidence |  |                                   |
| |                              |  |                                   |
| |   \_\_X\_\_\_Performan       |  |                                   |
| | ce   \_\_\_\_\_\_Multiple    |  |                                   |
| |   task/events                |  |                                   |
| |      choice/constructed      |  |                                   |
| |                              |  |                                   |
| |      response                |  |                                   |
| |   -------------------        |  |                                   |
| | ----- ---------------------- |  |                                   |
| |  --------------------------- |  |                                   |
| +------------------------------+  |                                   |
+-----------------------------------+-----------------------------------+
|   ----------------------- ------  |                                   |
| ---------------------------- ---- |                                   |
| --------------------------------- |                                   |
|   \                               |                                   |
| _\_\_\_                \_\_\_\_   |                                   |
|                          \_\_\_\_ |                                   |
|   Accurate and Complete   Not     |                                   |
| Accurate and/or Not Complete   In |                                   |
| formation has changed for 2006-07 |                                   |
|                                   |                                   |
|                                   |                                   |
|                       school year |                                   |
|                                   |                                   |
|   ----------------------- ------  |                                   |
| ---------------------------- ---- |                                   |
| --------------------------------- |                                   |
+-----------------------------------+-----------------------------------+
|   ------------------------------  |                                   |
|   Notes (for your convenience):\  |                                   |
|   \                               |                                   |
|   \                               |                                   |
|   \                               |                                   |
|                                   |                                   |
|                                   |                                   |
|   ------------------------------  |                                   |
+-----------------------------------+-----------------------------------+
|   ------------------------------  |                                   |
|                                   |                                   |
|                                   |                                   |
|   ------------------------------  |                                   |
+-----------------------------------+-----------------------------------+
| \(88\)                            |                                   |
+-----------------------------------+-----------------------------------+
|                                   |                                   |
+-----------------------------------+-----------------------------------+
|   ------------------------------  |                                   |
|   **9. Assessment 5 Regular or    |                                   |
|   Alternate (A5) Describe the     |                                   |
|   role of student work (videos,   |                                   |
|   photographs, work               |                                   |
|   sheets/products) in the         |                                   |
|   alternate assessment.  (A5)**   |                                   |
|                                   |                                   |
|   ------------------------------  |                                   |
+-----------------------------------+-----------------------------------+
|   ------------------------------  |                                   |
|   **Document Analysis             |                                   |
|   Response:**\                    |                                   |
|   100% \-- in the portfolio,      |                                   |
|   \"\[t\]here are 4 types of      |                                   |
|   artifacts that may be           |                                   |
|   submitted: videotape (at least  |                                   |
|   two videotaped artifacts, one   |                                   |
|   in reading and one in           |                                   |
|   mathematics are required for    |                                   |
|   each ALT-MSA portfolio);        |                                   |
|   audiotape; student work         |                                   |
|   (original); and data            |                                   |
|   collection chart (original).\"  |                                   |
|   The data collection chart is    |                                   |
|   defined as continuous,          |                                   |
|   systematic, and objective       |                                   |
|   quantification of a             |                                   |
|   combination of (a) student      |                                   |
|   responses and (b) student       |                                   |
|   products.                       |                                   |
|                                   |                                   |
|   ------------------------------  |                                   |
+-----------------------------------+-----------------------------------+
|   ----------------------- ------  |                                   |
| ---------------------------- ---- |                                   |
| --------------------------------- |                                   |
|   \                               |                                   |
| _\_\_\_                \_\_\_\_   |                                   |
|                          \_\_\_\_ |                                   |
|   Accurate and Complete   Not     |                                   |
| Accurate and/or Not Complete   In |                                   |
| formation has changed for 2006-07 |                                   |
|                                   |                                   |
|                                   |                                   |
|                       school year |                                   |
|                                   |                                   |
|   ----------------------- ------  |                                   |
| ---------------------------- ---- |                                   |
| --------------------------------- |                                   |
+-----------------------------------+-----------------------------------+
|   ------------------------------  |                                   |
|   Notes (for your convenience):\  |                                   |
|   \                               |                                   |
|   \                               |                                   |
|   \                               |                                   |
|                                   |                                   |
|                                   |                                   |
|   ------------------------------  |                                   |
+-----------------------------------+-----------------------------------+
|   ------------------------------  |                                   |
|                                   |                                   |
|                                   |                                   |
|   ------------------------------  |                                   |
+-----------------------------------+-----------------------------------+
| \(89\)                            |                                   |
+-----------------------------------+-----------------------------------+
|                                   |                                   |
+-----------------------------------+-----------------------------------+
|   ------------------------------  |                                   |
|   **10. Assessment 5 Regular or   |                                   |
|   Alternate (A6) Describe the     |                                   |
|   role of teacher judgment in     |                                   |
|   the alternate assessment.       |                                   |
|    (A6)**                         |                                   |
|                                   |                                   |
|   ------------------------------  |                                   |
+-----------------------------------+-----------------------------------+
|   ------------------------------  |                                   |
|   **Document Analysis Response:\  |                                   |
|   **0% \-- in the portfolio,      |                                   |
|   \"\[t\]here are 4 types of      |                                   |
|   artifacts that may be           |                                   |
|   submitted: videotape (at least  |                                   |
|   two videotaped artifacts, one   |                                   |
|   in reading and one in           |                                   |
|   mathematics are required for    |                                   |
|   each ALT-MSA portfolio);        |                                   |
|   audiotape; student work         |                                   |
|   (original); and data            |                                   |
|   collection chart (original).\"  |                                   |
|   The data collection chart is    |                                   |
|   defined as continuous,          |                                   |
|   systematic, and objective       |                                   |
|   quantification of a             |                                   |
|   combination of (a) student      |                                   |
|   responses and (b) student       |                                   |
|   products.                       |                                   |
|                                   |                                   |
|   ------------------------------  |                                   |
+-----------------------------------+-----------------------------------+
|   ----------------------- ------  |                                   |
| ---------------------------- ---- |                                   |
| --------------------------------- |                                   |
|   \                               |                                   |
| _\_\_\_                \_\_\_\_   |                                   |
|                          \_\_\_\_ |                                   |
|   Accurate and Complete   Not     |                                   |
| Accurate and/or Not Complete   In |                                   |
| formation has changed for 2006-07 |                                   |
|                                   |                                   |
|                                   |                                   |
|                       school year |                                   |
|                                   |                                   |
|   ----------------------- ------  |                                   |
| ---------------------------- ---- |                                   |
| --------------------------------- |                                   |
+-----------------------------------+-----------------------------------+
|   ------------------------------  |                                   |
|   Notes (for your convenience):\  |                                   |
|   \                               |                                   |
|   \                               |                                   |
|   \                               |                                   |
|                                   |                                   |
|                                   |                                   |
|   ------------------------------  |                                   |
+-----------------------------------+-----------------------------------+
|   ------------------------------  |                                   |
|                                   |                                   |
|                                   |                                   |
|   ------------------------------  |                                   |
+-----------------------------------+-----------------------------------+
| \(90\)                            |                                   |
+-----------------------------------+-----------------------------------+
|                                   |                                   |
+-----------------------------------+-----------------------------------+

[]{.mark}

# []{.mark}