Screen Reader Mode Icon Check SCREEN READER MODE to make this survey compatible with screen readers. Math Circle Waiting List 2022 Question Title * What is your name? OK Question Title * What is your email? OK Question Title * What is your child's name? OK Question Title * What is your child's gender? female male gender neutral / other OK Question Title * What is your child's grade? 2 3 4 5 OK Question Title * What is your child's math level? struggles with math at grade level above grade level I have no idea OK Question Title * How does your child feel about math? Check all that apply. anxious / stressed bored / disinterested confused / struggling likes / loves math other (please specify) OK Question Title * What would you most like your child to get out of a math circle? Check all that apply. Keep up with the math topics for her grade Understand math concepts more deeply Have fun with math Get better at math facts Feel more confident in math Apply math to real life Think of herself as a math person Social connection / peers enjoying math Other (please specify) OK Question Title * Please check the time frames your child would be able to attend math circles. Morning: between 9:00-12:00 Early afternoon: between 1:00-3:00 Late afternoon: between 3:00-5:30 What else would you like to tell me about your child's available days/times? OK Question Title * What time zone are you in? Pacific Mountain Central Eastern Hawaii (I wish I were you) Alaska OK DONE--THANK YOU!