Home Learning Preferences Form
Share your household’s home learning setup and preferences to help us better support your educational needs. All questions are focused on your learning environment—no sensitive or financial information is collected.
Household Name
*
Number of Learners in Your Household
*
Grade Levels of Learners
*
Preschool
Elementary (K-5)
Middle School (6-8)
High School (9-12)
Other
Preferred Learning Styles
Visual (pictures, diagrams, videos)
Auditory (listening, discussions)
Kinesthetic (hands-on, movement)
Reading/Writing
Other
Primary Learning Devices Used
*
Desktop Computer
Laptop
Tablet
Smartphone
Other
Internet Connectivity
*
Reliable high-speed internet
Occasional connection issues
Unreliable or limited access
Preferred Learning Times
Morning
Afternoon
Evening
Flexible/Varies
Main Challenges Faced with Home Learning
Motivation/Focus
Access to resources
Technical issues
Time management
Other
Additional Resources or Support Needed
Any Additional Comments
Submit Preferences
Should be Empty: