Winter/Spring Tutoring Survey 2024
Dear Families,

I look forward to working with your child online this school year! 

All my best,
Susie Pickett, M.Ed.
susiepickett.weebly.com/

P.S. For new clients, I am a California-credentialed teacher with a Master's degree in Education, a Reading Specialist certificate and additional training in Structured Word Inquiry (SWI) and multi-sensory methods (Orton-Gillingham). I have worked in both private and public schools as a Math and Reading Specialist, and have tutored privately for many years (2nd grade to high school, currently). I have been working successfully online using Zoom and will continue using this platform for the foreseeable future.
Sign in to Google to save your progress. Learn more
Email *
What is your name (parent(s) completing form)? First and last name(s). *
What is your cell phone number? *
What is your child's name? *
What grade is your child in (school year 2023-24)? *
What school does your child attend? *
How many tutoring sessions would you like per week? *
Which academic areas would you like me to focus on with your child? *
Which day(s) of the week is your child available this winter? Select all that apply. *
Required
What time frame works best for your family? I will do my best to work around your schedule, but please let me know all available times. If the time is variable by day, please make a note in the box below. *
Required
Comments? Questions?
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy