Private Lessons Questionnaire
To assist my students effectively, I like to get an idea of their specific needs and issues. Please answer this short questionnaire.
Sign in to Google to save your progress. Learn more
Parent Name *
Parent Email *
Parent Phone Number *
What are the best days and times to contact you? *
Your child and/or children's name/s, age/s, grade level/s (fall 2022) *
Tell me a bit about the situation that makes you reach out to me. I like to tailor instruction to each student's needs, so the more specific you can be the better I can help your child/children. *
What type of writing do they prefer (factual-story) *
What specific problem areas have your noticed in their writing? *
Has your child/children used IEW curriculum before? If so, what have they used? Did they complete it? If not, where did they leave off? *
Are you able to assist your child/children with the writing assignments? *
Do you home school, or do they attend a local school? *
What is the time frame you had in mind for me to work with your child/children? (A certain period of time, or ongoing?) *
When were you thinking of beginning lessons? *
What days and times would they be available to meet for lessons? *
Once I review your answers and know which direction you'd like to go, I will contact you via email to set up a short phone consultation.
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy