Getting To Know You Thank you for allowing us to serve you throughout your homeschooling journey. Won't you take a moment to tell us a little about yourself? 1. Are you a homeschooling parent? Yes No Other

2. Are you the homeschooled child(ren)'s
Mother
Father
Grandparent
Other

3. How many years have you homeschooled?
1 year
2 years
3 years
4 years
5 years
6 years
7-10 years
Over 10 years

4. How many children do you homeschool this school year?
1 child
2 children
3 children
4 children
5 children
6 children
7 children
8 or more children

5. What are the ages of your homeschooled children?
Enter ages separated by a comma in the box below
     

6. What are the grade levels of your homeschooled children?
Enter in one grade level per child, separated by a comma in the box below
     

7. Are you a member of a homeschooling support group?
Yes
No

8. Are you a member of your state homeschooling association?
Yes
No

9. If you answered "yes" to Question #8, what is the name of the state homeschooling association that you are a member?
     

10. Are you a member of the Home School Legal Defense Association?
Yes
No

11. Where do you receive your copies of Homeschooling Parent Magazine?
Support Group
Library
Homeschool Retailer
From a friend
Other (Please share in the box below)
     

12. When you are finished reading Homeschooling Parent Magazine, do you
Save the issue for future reference
Pass it on to another homeschooling family
Throw it away

13. What was the most influencing factor in your decision to homeschool?
Dissatisfied with public school
Religious convictions and the freedom to teach selected subjects
Individualized education
Other (Please share in the box below)
     

14. How many individuals in your home read Homeschooling Parent Magazine?
1
2
3
4 or more

15. How much do you spend annually per child on curriculum, equipment, supplies, and educational services?
Less than $200 per school year
$200 - $399 per school year
$400 - $599 per school year
$600 - $899 per school year
$900 or more per school year

16. Do you homeschool one or more learning challenged children?
Yes
No

17. Do you homeschool one or more physically challenged children?
Yes
No

18. Are any of your K-12 homeschooled children enrolled in distance education programs - online or correspondence?
Yes
No

19. Are any of your homeschooled children enrolled in educational classes in your community?
Yes
No

20. Does your family participate in a co-operative learning group?
Yes
No

21. Do you have a homeschooler preparing to go to college in the next three years?
Yes
No

22. What is your education level?
High School
Some College
Undergraduate Degree
Graduate Degree
Ph.D.

23. Have you ever purchased products or services from one of our advertisers?
Yes
No

24. Do you plan to purchase products or services from one of our advertisers in the future?
Yes
No

25. What is the number one homeschooling curriculum, product, service or tool that you recommend?
     

26. What is your zip code?
     

What's on your mind?


Use the space below to tell us what you enjoy about Homeschooling Parent Magazine, ideas for upcoming features, and general feedback.



Name (optional)
     
E-mail Address (optional)
     
 
 
 

We appreciate the time you have taken today to share this information with us.

Thank you for allowing us to serve you.

  Homeschooling Parent Magazine