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STUDENT & PARENT QUESTIONNAIRE

What is the student's current academic level and subject? Select all that apply.

A
B
C
D

What are the student's current academic goals?

What is the student finding most challenging at the moment?

Why are you looking for support now?

Is the student prepared to take an active role in their own learning?

A
B

What kind of support are you looking for?

A
B
C
D

How much regular teaching time are you considering?

A
B
C
D

What would success look like for the student?

I work with students on an ongoing basis rather than through ad-hoc, one-off tutoring sessions. Are you looking for this type of educational relationship?

A
B

Student's first name

Student's age

Parent / guardian's name

Parent / guardian's email address

Time zone / country

Is there anything else you would like me to know before I review your application?