Thanks for agreeing to help us out with our research study. Just to recap, we’re trying to gather information to help High Achieving Elementary & Middle School students. Whether you are a current student or a former student, a parent, teacher or friend/family member, we want to know about your favorite:
• Subjects in school
• Books
• Extracurricular activities
• Online resources
• Summer programs
• Contests
• Travel experiences
• Educational videos/shows

Your feedback will be the basis for our upcoming book titled “Chasing Einstein: The Quest for High Achieving Elementary & Middle School Students.” We are looking to have all responses submitted by no later than July 31, 2014.

Note that proceeds of the book will go to charity and to support future educational experiences and activities. By participating in this research, you’ll be eligible for a free electronic copy of the book (we’ll tell you more about that at the end of the survey). Lastly, all responses will be kept anonymous.

Alexa & Dan Twibell
(Daughter & Father authors)

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* 1. Are you:

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* 2. If you are currently enrolled as a student, what grade are you in?

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* 3. If you are currently enrolled in some type of Gifted Program, please select from the list below the type of approach that best describes your program?

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* 4. How many years have you been in a Gifted Program?

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* 5. If you are the Parent of an Elementary School Student or a Middle School Student, do you have a child/children in some type of Gifted Program? If yes, select the the type of program from the list below.

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* 6. What is your favorite subject in school?

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* 7. What is it about your favorite subject that you like the best?

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* 8. What is your favorite book of all time?

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* 9. Which of the following books (book series) have you read and/or would recommend to other students?

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* 10. Do you read most of your books on:

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* 11. Do you primarily check your books out of the library or do you buy them from a retail or online service provider?

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* 12. What outside the classroom activities do you participate in?

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* 13. What Academic Websites or Applications have you utilized to expand your learning beyond the classroom? (choose all that apply)

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* 14. What Academic After School Programs have you utilized to expand your learning beyond the classroom? (choose all that apply)

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* 15. What Academic Competitions have you participated in? (choose all that apply

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* 16. What, if any, online Academic Summer Programs have you participated in? (choose all that apply)

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* 17. What, if any, in-person Academic Summer Programs have you participated in? (choose all that apply)

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* 18. Are you a member of any Academic or Intellectual oriented organizations? (choose all that apply)

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* 19. What, if any, Gifted Testing or IQ Testing have you participated in? (choose all that apply)

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* 20. What, if any, standardized testing programs have you participated (choose all that apply)

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* 21. What, if any, have been your favorite educational oriented travel experiences?

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* 22. What, if any, educational videos/shows have you watched? (choose all that apply)

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* 23. What are your favorite Board Games?

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* 24. What is your favorite Movie?

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* 25. Thank you for completing this survey. Your responses will be anonymous and will only be shared as part of blinded summaries or illustrative descriptions. If you would like to receive a complimentary electronic copy of the final book once it is complete, please provide your name and email address below.

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