Hello! Completing this quick questionnaire will help us alert our amazing staff about your tutoring/coaching needs! 
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Please take a few minutes to answer these questions. If you're in a rush, you can always contact us here.
What is your name? *
What is your phone number? What are the best times to call or text you? *
What is your email? *
If you are a parent, what is your child’s grade? OR if you are an adult or college student please write “adult” or “college student” . *
We are not brick and mortar! What is the zip code and cross streets of where you want services to take place? If you want remote, please let us know that you prefer remote services. We also offer hybrid too!  *
What type of tutoring or coaching services are needed? If you aren't sure, that's okay! 
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Will your child or you (college student/adult) need help with any of the following skills? *
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If other, please tell us more.
Please let us know the best days and times that work for tutoring/coaching services, so we can match our staff's availability with yours :) *
Price-wise what are you interested in? These ranges represent online and our doorstep (traveling to you) services: *
When do you want to start these services? *
How did you hear about us? 
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If someone referred you to Themba, please let us know their name so we can thank them! 
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