Joy of Learning Intake Questionnaire
Please complete this questionnaire before our phone consultation. Thank you!
Email address *
Parent Guardian Name *
Parent/ Guardian Phone *
Location (city) *
Student's Name *
Student's Age and Grade *
What are the academic areas in which your child needs support? *
Does you child have any diagnoses and have they had any particular evaluations? *
Are you interested in one-on-one work or small group work? *
What days and times generally work best for your schedule, and are there days and times that don't work? (When I get a lot of inquiries, I reach out first to families whose availability matches with the time slots that I currently have available). *
Anything Else?
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy