The National Institute for Direct Instruction (NIFDI) is compiling information on researchers and post-secondary instructors with interests in Direct Instruction (DI) to facilitate information flow and collaboration on DI. The information you provide will help us develop a current list of people with scholarly interests in DI. At the end you can indicate the extent to which you want to be contacted in the future. Thank you for participating.

* 1. What is your name?

* 2. What type of experience have you had with Direct Instruction? (Please check all that apply.)

* 3. What are your DI interest areas? (Please check all that apply.)

* 4. What is the highest level of school you have completed or the highest degree you have received?

* 5. What was your major for your highest degree?

* 6. Please indicate your current (or most recent) employer(s)?

* 7. What is (was) your job title?

* 8. What is your mailing address?

* 9. Phone number(s)

* 10. What is your e-mail address?

* 11. What is your preferred way to be contacted? (You may mark multiple choices)

* 12. We anticipate sending information to this list for a variety of possible reasons. Please check areas for which you would like to be contacted.

* 13. Please list any current research projects you are involved in on DI topics.

* 14. Please list any courses you currently teach that address the DI methodology.

* 15. Would you like your information to be included in the DI Researcher Directory, which will be disseminated among other DI researchers?

Thank you very much for providing this information.

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