A questionnaire surveyed 72 combination classroom (CC) teachers in 28 rural schools of North Carolina to determine their needs. The major conclusions of the study based on teachers' perceptions were: (1) all CC teachers should have an aide and a pay bonus to teach a CC; (2) colleges and school districts have not provided special training on how to teach a CC; (3) the majority of teachers do not prefer to teach CCs; (4) students do as well academically and socially in a CC; (5) younger students do as well academically and socially in a CC as they do in a regular classroom; (6) CC might be harmful to a student if they have a CC year after year; (7) teachers feel strongly about classroom size, preferring small CCs to large regular classes; (8) parents do not like CCs for their children but the students do not seem to mind if they are in one; and (9) teachers who like to teach CCs integrate instruction and mix the grade levels for instruction. A national study is needed to compare student achievement and social growth in CCs and regular classrooms to determine the long term effects of CCs on students. (KS)