Study Buddy Enquiry Form
If you are a parent who has a child who is struggling, please fill in this form. All information received will be treated with the utmost confidentiality in line with current UK GDPR regulations. 
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Email *
Your name *
Are you contacting us about your son/daughter as their legal guardian? *
What's the name of the child? *
What's their current age? *
Describe to us in summary what your child (or you) are struggling with in relation to their learning/school at the moment? *
Is there anything else your child struggles with in relation to school more generally? *
Which elements does your child find challenging (that affect his or her day to day life or wellbeing? *
Required
What have you or your child already tried to support or resolve these difficulties so far to date? *
Have you received any help from any other professionals either in school or outside of school *
If yes, did this help and how?
Would you potentially like an online appointment or a face to face appointment in our clinic? (If we feel we can help then we will contact you to let you know our charges and to book the next available appointment) *
Do you know what sort of help your child needs? 
Please provide us with your email address and phone number so we can contact you following the review of this form *
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