Creative Excellence Tutoring | Educational Needs Survey

Name *

Email address *

What grade is your child in? *

What subjects does your child need tutoring in? What are your child’s challenges or areas of concern?

Please select at least one option.

Mathematics

Science

English Language Arts

Social Studies

Foreign Languages

Test Preparation

What are your top 1-3 academic goals for tutoring?

How did you hear about creative excellence tutoring?

What is your preferred tutoring schedule?

Please select at least one option.

Weekdays

Weekends

Afternoons

Evenings

Do you have any specific learning preferences or needs for your child?

Which service or services are you interested in?

Please select at least one option.

Personalized Tutoring Sessions

Group Tutoring Sessions

Homework Assistance

Test Preparation

Enrichment Programs

Online Tutoring Sessions

Academic Assessments

Study Skills Coaching

College Counseling & Admissions Support

Additional questions or comments

What are your child’s strengths?

Is your child receiving any additional academic support (e.g., IEP, 504, intervention, other tutoring)?

What would success look like after 3 months of tutoring?

Are there any specific subjects or skills you want us to focus on?

Please select at least one option.

Reading

Writing

Mathematics

Other

What motivates your child? (Hobbies, interests, favorite activities)

Does your child have any behavioral, emotional, or learning differences we should be aware of?

What helps your child feel calm, confident, and encouraged?

Anything else you’d like us to know about your child’s learning journey?

Do you consent to communication and progress updates via email/text?

Please select at least one option.

Yes

No

Do you give permission to share your child’s success (first name only) in spotlight features or testimonials?

Please select at least one option.

Yes

No

Ask First

What are your child’s challenges or areas of concern?

What would success look like after 3 months of tutoring?

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