Inquiry/prep for consultation: Personal Tutoring/Teaching in 2023-2024

Thank you for your interest in tutoring (one on one or our new group session or learning podbeing offered). We ask that you complete this form for us so that we know what you are interested in. One on one sessions may be on a wait list right now, so if this is your preference, we can let you know when a spot becomes available for sessions, we already know what you are looking for. *Please note, availability is changing by the day right now as students learning from home are sometimes changing their time slot to during the day rather than after school. Thank you for your patience. I will get back to you.

Enter your First Name *

Enter your Last name *

Enter your Email *

Enter your Phone

First name of child *

Child's date of birth *

What areas (check all that apply) are important to focus on? *

Decoding (reading)

Comprehension (reading)

Spelling

Writing (sentences/paragraphs)

Grammar

Vocabulary expansion

all of the above

other (including other subjects)

If you selected other please provide more details.

Do you know or do you believe that your child has a learning disability? *

Yes I know (we had testing completed)

Yes I believe so (based on my thoughts or conversations with others such as teachers)

I don't think my child has a learning disability

Unsure if there is a learning disability.

If you said yes to the question above, please provide more details

What would you say about your child's current reading/spelling/writing skills?? *

cannot recognize the entire alphabet yet (names of letters)

cannot recognize all sounds that our 26 letters make yet

can recognize names and sounds of our alphabet but that is it

can recognize alphabet but very few of some other combinations of letters that make sounds (eg. consonant blends such as sl, sn, sc, fl, pl, ck, sh, vowel blends such as ai, ay, ie, eigh, ing, nk, ng, kn, etc.)

can recognize alphabet but only a few of some other combinations of letters that make sounds (eg. consonant blends such as sl, sn, sc, fl, pl, ck, sh, vowel blends such as ai, ay, ie, eigh, ing, nk, ng, kn, etc.)

can recognize alphabet and many other combinations of letters that make sounds (eg. consonant blends such as sl, sn, sc, fl, pl, ck, sh, vowel blends such as ai, ay, ie, eigh, ing, nk, ng, kn, etc.)

is great with sounds but not strong with grammar, punctuation or vocabulary expansion

unsure of my child's needs and strengths at this time

What service are you looking for? *

When would your child be available to have sessions weekly in person or online? (day time spots are often more available than after school sessions) *

during the day will work

only after school will work

if weekends are an option, we would like to consider this

we are flexible and just want the first available sessions to start tutoring or group online sessions asap

while learning from home we can do daytime, when school returns to in person we would have to switch to after school

Minimum is twice per week for 30 minutes or more (based on several factors I will go through). How often would you like to see your child get tutoring support? *

twice per week

three or more times per week

Current school situation *

attending in person school (public)

attending in person school (private)

attending school online

homeschooling

other

We offer in person and virtual sessions, what do you prefer? *

online only in person only combination of both online and in person