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Private Lessons Questionnaire
To assist my students effectively, I like to get an idea of their specific needs and issues. Please answer this short questionnaire.
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* Indicates required question
Email
*
Your email
Today's Date
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MM
/
DD
/
YYYY
Parents Name
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Your answer
Parents Email
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Your answer
What are the best days and times to contact you?
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Your answer
Your child and/or children's name(s), age(s), grade level(s) as of Fall of 2022
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Your answer
Tell me a bit about the situation that makes you reach out to me. I like to tailor instruction to each student's needs, so the more specific you can be the better I can help your child/children.
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Your answer
What type of writing do they prefer (factual-story)*
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Your answer
What specific problem areas have your noticed in their writing?
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Grammar
Spelling
Sentence Structure
Punctuation
Other:
Required
Has your child/children used IEW curriculum before? If so what have they used? Did they complete it? If not, where did they leave off?
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Your answer
Are you able to assist your child/children with the writing assignments?*
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Yes
No
Do you home school, or do they attend a local school?*
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Home School
Local Private/Public School
What is the time frame you had in mind for me to work with your child/children?
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Short amount of time
On going
What days and times would they be available to meet?
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Your answer
Once I review your answers and know which direction you'd like to go, I will contact you via email to set up a short phone consultation.
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