* 1. Please complete the information for future

* 2. My child/children attend(s)

* 3. Are you satisfied with your school options?

* 4. If a charter school was available in your community would you seek to enroll your child?

* 5. How strongly do you feel that there should be a charter school in your community?

Very Strongly Interested
Strongly Interested
Mildly interested
Not Interested

* 6. Would you be excited to have a charter school in your area whether you would enroll your child or not?

* 7. What would you like to see in a school curriculum?

* 8. How many school-age children do you have (K-12)?

* 9. What is your impression of the public elementary, middle, high school in your district?

* 10. Check the statement that best describes your thoughts concerning the public school system: