Family Survey Step 1 of 9 11% MotherName First Last OccupationProfessional TrainingFatherName First Last Occupation Is your child currently enrolled in a school, if so what grade?No, my child is not enrolled in schoolKindergarten12345678Post 8th GradeStudent OneFirst Name*Birthdate* Date Format: MM slash DD slash YYYY GenderMaleFemaleGrade in upcoming fallK12345678Post 8th GradeHas this student been homeschooled? If so, how many years?No, my child has not been homeschooled12345678Has s/he attended a Waldorf school, if so, what grade(s)? My child has not attended a Waldorf school. Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th Post 8th List the capacities, gifts and talents of childHave you been satisfied with your child's education?Please share the strengths and weaknesses you have observed and how your child has responded. Note specific concerns with Math, Reading or WritingWhat areas would you like to see strengthened?Describe the activies, events and items in which your child shows great interestHow would you describe the social life of your childAdd a second student?*YesNo Student TwoFirst Name*Birthdate* Date Format: MM slash DD slash YYYY GenderMaleFemaleGrade in upcoming fallK12345678Post 8th GradeIs your child currently enrolled in a school, if so what grade?No, my child is not enrolled in schoolKindergarten12345678Post 8th GradeHas this student been homeschooled? If so, how many years?No, my child has not been homeschooled12345678Post 8th GradeHas s/he attended a Waldorf school, if so, what grade(s)? My child has not attended a Waldorf school. Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th Post 8th List the capacities, gifts and talents of childHave you been satisfied with your child's education?Please share the strengths and weaknesses you have observed and how your child has responded. Note specific concerns with Math, Reading or WritingDescribe the activies, events and items in which your child shows great interestHow would you describe the social life of your childAdd a third student?*YesNo Student ThreeFirst Name*Birthdate* Date Format: MM slash DD slash YYYY GenderMaleFemaleGrade in upcoming fallK12345678Has this student been homeschooled how long? (years)No, my child12345678Has s/he attended a Waldorf school, if so, what grade(s)? My child has not attended a Waldorf school. Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th Post 8th List the capacities, gifts and talents of childHave you been satisfied with your child's education?Please share the strengths and weaknesses you have observed and how your child has responded. Note specific concerns with Math, Reading or WritingDescribe the activies, events and items in which your child shows great interestHow would you describe the social life of your childAdd a fourth student?*YesNo Student FourFirst Name*Birthdate* Date Format: MM slash DD slash YYYY GenderMaleFemaleGrade in upcoming fallK12345678Has this student been homeschooled how long? (years)No, my child12345678Has s/he attended a Waldorf school, if so, what grade(s)? My child has not attended a Waldorf school. Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th Post 8th List the capacities, gifts and talents of childHave you been satisfied with your child's education?Please share the strengths and weaknesses you have observed and how your child has responded. Note specific concerns with Math, Reading or WritingDescribe the activies, events and items in which your child shows great interestHow would you describe the social life of your childAdd a fifth student?*YesNo Student FiveFirst Name*Birthdate* Date Format: MM slash DD slash YYYY GenderMaleFemaleGrade in upcoming fallK12345678Has this student been homeschooled how long? (years)No, my child12345678Has s/he attended a Waldorf school, if so, what grade(s)? My child has not attended a Waldorf school. Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th Post 8th List the capacities, gifts and talents of childHave you been satisfied with your child's education?Please share the strengths and weaknesses you have observed and how your child has responded. Note specific concerns with Math, Reading or WritingDescribe the activies, events and items in which your child shows great interestHow would you describe the social life of your child Any Other Siblings?*YesNoSiblingsPlease list all siblings who live at least part time with the Live Education! student(s).Sibling 1Sibling 1 First Name*Sibling 1 Birthdate* Date Format: MM slash DD slash YYYY GenderMaleFemaleGrade in upcoming fallK12345678Post 8th GradeIs your child currently enrolled in a school, if so what grade?No, my child is not enrolled in a schoolKindergarten12345678Post 8th GradeHomeschooled?YesNoAdd a second sibling?*YesNoSibling 2Sibling 2 First Name*Sibling 2 Birthdate* Date Format: MM slash DD slash YYYY GenderMaleFemaleGrade in upcoming fallK12345678Homeschooled?YesNoAdd a third sibling?*YesNoSibling 3Sibling 3 First Name*Sibling 3 Birthdate* Date Format: MM slash DD slash YYYY GenderMaleFemaleGrade in upcoming fallK12345678Homeschooled?YesNoAdd a fourth sibling?*YesNoSibling 4Sibling 4 First Name*Sibling 4 Birthdate* Date Format: MM slash DD slash YYYY GenderMaleFemaleGrade in upcoming fallK12345678Homeschooled?YesNo General QuestionsOnly include information you deem most important, including answers to questions we've neglected to ask!What inspires you to homeschool your child?*Discuss any questions or anxieties you have about homeschooling your child.If your child has been homeschooled describe the approach that you have used (Oak Meadow, Unschooling, and so forth).Who will be the primary educator(s) of your child?*Please describe a typical day.Describe your connection / exposure to Waldorf education.*Describe any other influences or aspects of student / family life you consider important as we prepare supportive materials (i.e. values, ethnicity, religious practice, etc.). When do you plan to begin using the curriculum?How soon do you need to hear from us?As soon as possibleWithin a couple of weeksNo rush.List the days and times (local to you) when you can be contacted by phone to schedule your Initial Consultation.Include Saturdays, Sundays, and evenings in your list, if applicable.In what city/state or country are you currently living?*Email* Phone Number (within the US)International Phone NumberHow did you learn about Live Education!Did you have any problems using our web-based signup and survey process? Is there anything that we could improve? Subscribe to our Newsletter
