Education Study TX /Gen


Name
Telephone number
Address
City
State
Zip code
Email address
What is your job title or position?
In what city do you currently live?
What is your current age?
Are you:
Do you, or does anyone in your household, work or have you ever worked for . . .
Which of the following best describes your employment situation?
Can you tell me what company you work for and what you do for a living?
When was the last time you participated in a paid research study?
Do you have any children living in your household?
What are the AGES, GENDERS of the child(ren) in your household?
What GRADE level will your child(ren) be entering this next school year (fall of 2019)?
Child 1
Child 2
Child 3
Please indicate in which city your child/children would attend school in the Fall of 2019.
Are you the legal guardian or one of the legal guardians responsible for making decisions about your child(ren)’s education?
Which of the following best describes your role when it comes to making decisions about your child(ren)’s education?
For each of your children, please indicate what type of school they attend?
Child 1
Child 2
Child 3
What kinds of schools they have attended in the past, if any (from Kindergarten to now):
Child 1
Child 2
Child 3
On a scale of 1 to 5, where 1 is definitely not and 5 is definitely would, how likely are you to consider the following schooling options for your child/children? For each child, how likely are you to consider... (If you do not have a 2nd or 3rd child skip to next question)
Child 1 Private School
Child 1 Public School
Child 1 Charter School
Child 2 Private School
Child 2 Public School
Child 2 Charter School
Child 3 Private School
Child 3 Public School
Child 3 Charter School
Which of the following broad categories includes your annual household income?
With which of the following do you most identify:
What is the highest level of education that you completed?
Now I’d like to ask how you describe yourself. As I read the sentences below, please tell me which best describes you. Does it definitely describe you, kind of describe you, not really describe you or definitely not describe you?
I make friends easily.
I like to talk about what I think of things, even in front of other people.
I’m pretty shy and I get embarrassed when I should express my opinions.
I like learning about new things.
The following question is just for fun. There are no right or wrong answers. If you could time travel and go back in time to any period in history “where” would you go and why? What interests you about that time in history?
Do you belong to any parenting Meet Up groups or any type of parenting group in Midland or Odessa? If yes, please tell us the name of the parenting group?