Tuition: getting to know you

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Hello! Please fill in as much or little of the form as you feel comfortable to. The questions are designed to help me get to know you a little better and make sure there's a match in terms of availability. The essential information is your name and either your phone number or an email, so I can follow up with you. If you have any questions beforehand then you can get in touch at burton.road.network@gmail.com

Your name:

Child's name (if you feel comfortable to give this):

What year are they in at school?

Which tuition option(s) are you interested in?

English and maths tuition KS1 - £30 an hour

English and maths tuition KS2 - £34 an hour or £45 for 90 minutes

English tuition KS3 - £38 an hour or £50 for 90 minutes

GCSE English tuition - £42 an hour or £55 for 90 minutes

Creative Writing tuition - £34 an hour or £45 for 90 minutes

Study skills sessions - £34 an hour or £45 for 90 minutes

Exam technique & revision - £34 an hour or £45 for 90 minutes

What is your postcode? (Please feel free to just give the first four digits!)

What day(s) are you currently available for tuition (don't worry if this changes!):

Monday

Tuesday

Thursday

What time slot do you think may be best for you currently?

4pm

4.30pm

5pm

5.30pm

Email (optional!)

Phone number (if you're happy for me to give you a call to have a chat about tuition)

Let me know the best time(s) to call you if you'd like to:

Does your child have any Special Educational Need(s)?

Yes

Other:

Clear selection

Is there anything you'd like me to know before the call?

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms