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* 1. What are your primary reasons for homeschooling? (Select all that apply)

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* 2. How many years have you homeschooled? (Count this year as 1)

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* 3. How many children do you homeschool this school year?

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* 4. What are the ages of your homeschooled children? (Place the number of children in each grade band)

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* 5. Are you a participant/member of a homeschooling (co-operative learning) group?

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* 6. If Yes, what is the name of the homeschooling (co-operative learning) group in which you participate or are a member? Please include the name and mailing address.

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* 7. Are you a member of your state homeschooling association?

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* 8. If Yes, what is the name of the state homeschooling association in which you are a member?

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* 9. Are any of your homeschooled children enrolled in P-12 educational classes in your community?

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* 10. If Yes, how many total? What grade bands and subject/content areas? (Select all that apply)

  Math Science Reading Spelling English Language Arts Social Studies Instrumental Music Vocal Music Physical Education Art STEM Theater/Drama
Preschool - 2nd Grade
3rd Grade - 5th Grade
6th Grade - 8th Grade
9th Grade - 12th Grade

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* 11. If No, would you be interested if given the right price and schedule?

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* 12. If Yes, What grade bands and subject/content areas would you be interested in? (Select all that apply)

  Math Science Reading Spelling English Language Arts Social Studies Instrumental Music Vocal Music Physical Education Art STEM Theater/Drama
Preschool - 2nd Grade
3rd Grade - 5th Grade
6th Grade - 8th Grade
9th Grade - 12th Grade

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* 13. What are the biggest challenges (e.g., choosing curriculum, state requirements, assessment/testing, learning styles, etc.) you face as a homeschooler educator? (List several)

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* 14. What are your biggest frustrations (e.g., clean house, scheduling, socialization, etc.) related to homeschooling?

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* 15. Would you be interested in participating in a free local "unconference" meeting (an unplanned conference where participants supply the topics to discuss in each session) to discuss some of the above challenges and/or frustrations with other homeschool parents and professionals?

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* 16. Please explain your answer from question 15 above.

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* 17. If Yes/Maybe on question 15, how likely would you attend such a free event on Saturday, May 14, 2016 located at Cedarville University?

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* 18. If interested in putting your name in the random prize selection, provide your name and contact information.

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