Freedom School A&E Survey

1
NameOptional
First Name
Last Name
2
Gender* This field is required.
Please Select
Please Select
Male
Female
Transgender
Gender-neutral
I prefer not to say
3
Relationship to the Child* This field is required.
Please Select
Please Select
Father
Mother
Grandfather
Grandmother
Step Father
Step Mother
Legal Guardian
Other
4
Highest Level of Education Completed* This field is required.
Please Select
Please Select
No schooling completed
Some high school
High school graduate, diploma or equivalent'
Some college
Trade/Technical/Vocational training
Associate degree
Bachelor's degree
Master's degree
Professional degree
Doctorate degree
5
Household Income* This field is required.
Please Select
Please Select
$0-$9,999
$10,000-$24,999
$25,000-$49,999
$50,000-$74,999
$75,000-$99,999
$100,000-$149,999
$150,000+
Prefer not to answer.
6
How satisfied are you with your child's current school?* This field is required.
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Staff
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Curriculum
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Student Population
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Safety
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Staff
Curriculum
Student Population
Safety
Not Satisfied
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Somewhat Satisfied
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Satisfied
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Very Satisfied
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Not Satisfied
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Somewhat Satisfied
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Satisfied
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Very Satisfied
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Not Satisfied
Row 2, Column 0
Somewhat Satisfied
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Satisfied
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Very Satisfied
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Not Satisfied
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Somewhat Satisfied
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Satisfied
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Very Satisfied
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7
Do you feel your child's current school provides support for both academic and social needs?* This field is required.
YESNO
8
Do you think that the size of your child's classes affect the quality of his education?* This field is required.
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9
Feel free to describe your overall experiences with your chid's current school.
10
On a scale from 1 to 5, how would you rate the importance of your child learning about African/African American history?* This field is required.
1
2
3
4
5
11
On a scale from 1 to 5, how would you rate the importance of your child learning about entrepreneurship?* This field is required.
1
2
3
4
5
12
On a scale from 1 to 5, how would you rate the importance of your child learning about financial literacy?* This field is required.
1
2
3
4
5
13
On a scale from 1 to 5, how would you rate the importance of your child learning about the fields of STEAM (Science, Technology, Engineering, the Arts, and Mathematics)?* This field is required.
1
2
3
4
5
14
How much would you be willing to pay for your child's education on a monthly basis, if they were taught about African/African American history, entrepreneurship, financial literacy, and STEAM (Science, Technology, Engineering, the Arts, and Mathematics?* This field is required.Please choose all that apply.
$200
$300
$400
$500
$600
I would not be willing to pay for my child's education.
Other
15
County* This field is required.
Please Select
Please Select
Collin
Hunt
Dallas
Denton
Rockwall
Kaufman
Hopkins
Johnson
Tarrant
Ellis
16
Email* This field is required.
example@example.com
Should be Empty: