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MindSynap Math Tutorial Services Student Questionnaire
Thank you for your interest in receiving educational services from MindSynap Learning Lab. Please answer each question below by selecting an answer choice or typing in a short response.
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Parent Name:
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Your answer
Phone Number:
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Your answer
What is your email address?
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Your answer
Student Name
*
Your answer
What is the students age and grade?
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Your answer
Briefly describe students strengths...
Your answer
Briefly describe areas for student improvement...
Your answer
A tutorial session is about 60 minutes. At a rate of $30 per session. How many sessions will you need per week? Please note that MindSynap will bill you for 4 sessions at a time.
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Learning Plan A: 1 session per week for 4 weeks
Learning Plan B: 2 sessions per week for two weeks
What type of session do you prefer?
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Face to Face Tutorial
Live Online Tutorial
Briefly describe how MindSynap Learning Lab can assist you.
Your answer
What day(s) of the week and times works best for your schedule?
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Your answer
What is the best way to contact you?
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Email
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