Empowered Home Ed Consultation Form
How long have you been homeschooling?
I am new to homeschooling and want to learn more
Less than a year
How much have you already invested in your child's education? (Please include fees associated with public/private school if applicable)
Less then $100
What topics are *most* urgent to you right now?
Learning how to begin homeschooling
Learning how to transition a child out of public/private school
Learning how to homeschool multiple children
Leaning how to homeschool for special needs
Finding the right curriculum
Dealing with family/friends criticizing my decision to homeschool
Finding or creating a homeschool community
Feeling under qualified or unprepared to homeschool
check all that apply.
What do you do for a living?
What is your CURRENT family income?
$0 - $1,000 a month
$1,000 - $2,000 a month
$2,000 - $3,000 a month
$3,000 - $5,000 a month
$5,000 - $7,000 a month
$7,000 - $10,000 a month
Over $10,000 a month
How much can you invest in your child(ren)'s education?
I have less than $500 to invest in my child(ren)'s success
I have $1,000 to invest in my child(ren)'s success
I have $2,000 to invest in my child(ren)'s education
I have $5,000 to invest in my child(ren)'s success
I have $10,000 to invest in my child(ren)'s success
I have $25,000 to invest in my child(ren)'s success
What has been the BIGGEST obstacle or challenge in the past that has stopped you from reaching your family goals and educational goals?
Can you devote at least 10 hours a week (2hrs/day) to homeschooling, training, and personal development?
If given the opportunity would you like Zakkiyya Chase to personally mentor you to help you achieve your goals and become her next success story?
This field is for validation purposes and should be left unchanged.
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