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What is your gender
 
Male
 
Female
 
 
 
What is the highest level of school you have completed or the highest degree you have received?
 
Less than High school degree
 
High school degree or equivalent (e.g GED)
 
Some college but no degree
 
Associate degree
 
Bachelor degree
 
Graduate degree
 
 
 
Which of the following best describes your current relationship status?
 
married
 
Divorced
 
Widowed
 
Separated
 
In a domestic partnership or civil union
 
Single but cohabiting with a significant partner
 
Single, never married
 
 
 
How often do you help your child understand the content he or she is learning in school?
 
Almost never
 
Once in a while
 
Sometimes
 
Frequently
 
Almost all the time
 
 
 
How much effort do you put into helping your child learn to do things for himself/herself?
 
Almost no effort
 
A little bit of effort
 
Some effort
 
Quit bit of effort
 
A tremendous amount of effort
 
 
 
Do you have any other comments, questions, or concerns?
 
 
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