Today's Date:

MM

DD

YYYY

Parent/Guardian *

First Name

Last Name

Parent/Guardian 2

First Name

Last Name

Phone *

(###)

###

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Questionnaire (please answer all questions) *

What excites your family most about Acton Academy?

Self-paced Core Skills so our child can learn at a pace that is in sync with their ability to access and master subject matter

Challenging Quests and Socratic Discussions that deliver 21st Century Skills

The Hero's Journey, Learning Badges and Apprenticeships that help young people find a calling that will change the world

A multi-age Learner Driven Community that will motivate our child

What concerns you most about transitioning to Acton Academy? *

What concerns you most about transitioning to Acton Academy?

The work and rigor required

Whether I am ready to trust my child as an independent learner

The lack of a traditional teacher and curriculum; no homework or grades

How would you describe you, your spouse, and your child's educational learning environment so far? *

How would you describe you, your spouse, and your child's educational learning environment so far?

Highly traditional but time for a change

A mix of traditional and non-traditional learning

Non-traditional

Do you feel like you and your family have been on a passionate Hero's Journey in life or are ready to start?

Do you feel like you and your family have been on a passionate Hero's Journey in life or are ready to start?

No

Still exploring

Absolutely ready to start

Rate your willingness to let your child(ren) take ownership of their education. *

Rate your willingness to let your child(ren) take ownership of their education.

1 - Completely Unwilling

2

3

4

5 - Completely Willing

How effective are standardized test scores as a measure of a learner's success? *

How effective are standardized test scores as a measure of a learner's success?

1 - Not effective at all

2

3

4

5 - It's the only measure of success we value.

Is your child an independent learner? *

Is your child an independent learner?

Yes

No

Does your child have a history of behavioral or learning challenges? (required) *

Does your child have a history of behavioral or learning challenges? (required)

Yes

No