QUESTIONNAIRE
Distance Learning and Home Schooling (This section should take about 5 minutes)
Enter First Name
Enter Last Name
Enter your e-mail address here
01. Have you, or any member of your family been home schooled?
Yes No
02. If Yes, what percentage of people in your family have?
Less than 25 percent 25 to 50 percent 50 to 75 percent More than 75 percent
03. Does your family support home school education?
04. If Yes in what manner does your family support home school education?
(Please select all that apply) Financial Participate in directly Other
(Please select all that apply)
05. If you answered Other in Question 04 above, please list what other types of support.
06. In your opinion, do children in your family benefit from home school education?
07. If Yes, how do they benefit?
(Please select all that apply) Academically Morally Spiritually Other
Academically Morally Spiritually Other
08. If you answered Other in Question 07 above, please list what other benefits they receive.
09. Does your family currently provide home school education on a regular and continuing basis?
Yes No Occasionally
10. Your need to take home school education is?
High - You need them for graduation and/or your job Medium - They might benefit you in the future Low - Would only be for personal interest
11. Are there home school education courses specifically tailored for your need?
Yes No Don't Know
12. If you answered Yes in Question 6 above, please list what courses are available.
13. If you answered Don't Know in Question 6 above, please list below how we may contact you and help you
14. In home school education, how important is it to be part of a structured class?
Very Important Somewhat Important Not Important Other
15. Are you familiar with Distance Learning?
16. Have you, or any member of your family, obtained diplomas via distance learning?
17. If Yes, what percentage of people in your family have?
18. If you were to take a distance learning course, which method would you prefer to use when participating?
(Please rank from 1 (favorite) to 4 (least favorite)) a) Interactive Video 1 2 3 4 Not Sure b) On-line Courses 1 2 3 4 Not Sure c) CD-ROM Based Courses 1 2 3 4 Not Sure
(Please rank from 1 (favorite) to 4 (least favorite))
a) Interactive Video
1 2 3 4 Not Sure
b) On-line Courses
c) CD-ROM Based Courses
19. How often would you be interested in participating in a distance learning course regarding home school education?
One day a week Two days per week Three days per week Four days per week Five days per week Never
20. What do you consider a reasonable fee for a course offered as in-residence day student?
(Monthly figures shown) (1 student / 2 students / 3students) a) 1/2- day - 1-day per week (1 student / 2 students / 3students) $15 / $20 / $30 Yes No b) 1/2- day - 2-days per week (1 student / 2 students / 3students) $20 / $50 / $67 Yes No c) 1/2- day - 3-days per week (1 student / 2 students / 3students) $30 / $60 / $90 Yes No d) 1/2- day - 4-days per week (1 student / 2 students / 3students) $40 / $70 / $80 Yes No e) 1/2- day - 5-days per week (1 student / 2 students / 3students) $50 / $80 / $90 Yes No a) full-day - 1-day per week (1 student / 2 students / 3students) $20 / $38 / $55 Yes No b) full-day - 2-days per week (1 student / 2 students / 3students) $38 / $72 / $105 Yes No c) full-day - 3-days per week (1 student / 2 students / 3students) $54 / $105 / $155 Yes No d) full-day - 4-days per week (1 student / 2 students / 3students) $55 / $100 / $140 Yes No e)full-day - 5-days per week (1 student / 2 students / 3students) $66 / $110 / $150 Yes No
(Monthly figures shown) (1 student / 2 students / 3students)
a) 1/2- day - 1-day per week (1 student / 2 students / 3students)
$15 / $20 / $30 Yes No
$15 / $20 / $30
b) 1/2- day - 2-days per week (1 student / 2 students / 3students)
$20 / $50 / $67 Yes No
$20 / $50 / $67
c) 1/2- day - 3-days per week (1 student / 2 students / 3students)
$30 / $60 / $90 Yes No
$30 / $60 / $90
d) 1/2- day - 4-days per week (1 student / 2 students / 3students)
$40 / $70 / $80 Yes No
$40 / $70 / $80
e) 1/2- day - 5-days per week (1 student / 2 students / 3students)
$50 / $80 / $90 Yes No
$50 / $80 / $90
a) full-day - 1-day per week (1 student / 2 students / 3students)
$20 / $38 / $55 Yes No
$20 / $38 / $55
b) full-day - 2-days per week (1 student / 2 students / 3students)
$38 / $72 / $105 Yes No
$38 / $72 / $105
c) full-day - 3-days per week (1 student / 2 students / 3students)
$54 / $105 / $155 Yes No
$54 / $105 / $155
d) full-day - 4-days per week (1 student / 2 students / 3students)
$55 / $100 / $140 Yes No
$55 / $100 / $140
e)full-day - 5-days per week (1 student / 2 students / 3students)
$66 / $110 / $150 Yes No
$66 / $110 / $150
21. What do you consider a reasonable fee for a course offered as in-residence day student?
(Monthly figures shown) a) 1/2- day - 1-day per week (1 student / 2 students / 3students) $30 / $55 / $75 Yes No b) 1/2- day - 2-days per week(1 student / 2 students / 3students) $55 / $100 / $155 Yes No c) 1/2- day - 3- days per week (1 student / 2 students / 3students) $80 / $155 / $255 Yes No d) 1/2- day - 4-days per week (1 student / 2 students / 3students) $105 / $200 / $260 Yes No e) 1/2- day - 5-days per week (1 student / 2 students / 3students) $130 / $250 / $290 Yes No a) full-day - 1-day per week (1 student / 2 students / 3students) $55 / $105 / $155 Yes No b) full-day - 2-days per week (1 student / 2 students / 3students) $105 / $200 / $300 Yes No c) full-day - 3-days per week (1 student / 2 students / 3students) $155 / $280 / $330 Yes No d) full-day - 4-days per week (1 student / 2 students / 3students) $200 / $300 / $350 Yes No e)full-day - 5-days per week (1 student / 2 students / 3students) $250 / $350 / $380 Yes No Section 2: Demographic Information (Approximately 5 minutes)
(Monthly figures shown)
$30 / $55 / $75 Yes No
$30 / $55 / $75
b) 1/2- day - 2-days per week(1 student / 2 students / 3students)
$55 / $100 / $155 Yes No
$55 / $100 / $155
c) 1/2- day - 3- days per week (1 student / 2 students / 3students)
$80 / $155 / $255 Yes No
$80 / $155 / $255
$105 / $200 / $260 Yes No
$105 / $200 / $260
$130 / $250 / $290 Yes No
$130 / $250 / $290
$55 / $105 / $155 Yes No
$55 / $105 / $155
$105 / $200 / $300 Yes No
$105 / $200 / $300
$155 / $280 / $330 Yes No
$155 / $280 / $330
$200 / $300 / $350 Yes No
$200 / $300 / $350
$250 / $350 / $380 Yes No
$250 / $350 / $380
Section 2: Demographic Information (Approximately 5 minutes)
22. What is your (parent) highest level of education?
High School Associate Degree / Technical (Vocational) Education Bachelors Degree Masters Degree Doctoral Degree Other / Decline to answer
23. What is your child's highest level of education?
1st Child 2nd Child 3rd Child 4th Child 5th Child 6th Child K 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th K 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th K 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th K 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th K 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th K 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th
1st Child
K 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th
24. Are you teaching your child or children in home school?
25. How many years of home school teaching experience do you have?
Less than 5 years 5-10 years 10-15 years 15-20 years More than 20 years
26. Would you want to be a teacher or tutor for us?
Yes No I would like an interview Other (comments)
27. If you answered Other in Question 20 above, please list what type of organization you work for.
28. In which state/province/county/parish do you live?
29. What is your need with home school?
30. What professional certifications do you have?
(Please select all that apply) Certified Florida Teacher Other
31. If you answered Other in Question 32 above, please list what certifications you hold.
Section 3: Your Available Computer Technology (approximately 4 minutes)
32. Do you have access to a computer at home?
(If the answer is "No", please go to Question 38 and complete contact information) Yes No
(If the answer is "No", please go to Question 38 and complete contact information)
33. Does your computer at home have Internet access?
34. How do you connect to the Internet at home?
Dial-up modem ISDN (Integrated Digital Subscriber Network) DSL (Digital Subscriber Line) Cable Modem Corporate LAN I'm Not Sure
35. Does your computer at home have a CD-ROM?
36. What type of computer do you have at work?
IBM Compatible PC Mac Other/Not Sure
37. On what platform does your computer at work operate?
Windows 95/98 Windows NT/2000 Windows XP Apple Macintosh System 6 or higher Sun Solaris Linux Other / Don't Know
38. If you wish to be contacted enter your business name, address, area code, and phone number in the box below.