Help us get to know your child! This quick form gathers important details like grade level, subject needs, learning style, and availability so we can match your student with the best-fit tutor and personalize their learning journey. All information is kept secure and used to provide the most effective virtual tutoring experience possible.

Student Name *

First Name

Last Name

Age *

Grade Level *

School Name *

Parent/Guardian Name *

First Name

Last Name

Parent/Guardian Email *

Parent/Guardian Phone Number *

Country

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Academic Overview

1. What subjects are you currently studying in school?

2. Which subjects do you enjoy the most? Why?

3. Which subjects are the most challenging for you?

4. Have you ever worked with a tutor before?

If yes, What worked well? What didn’t?

5. How do you usually feel about school and learning?

Learning Style & Preferences

1. How do you learn best?

Select all that apply

Listening to explanations

Watching videos

Hands-on activities

Reading and writing

Practicing problems

Talking through ideas

2. Do you work better in a quiet space or with some background noise?

3. What motivates you to do your best?

4. Do you have any goals for this school year or tutoring sessions?

Support Areas

1. What do you need the most help with right now?

Reading

Writing

Math

Science

Test Prep

Organization/Time Management

Confidence in learning

Others

2. Are there any specific topics or skills you’d like to improve?

3. Do you have any IEP, 504 Plan, or special learning accommodations?

If yes, please describe briefly:

Fun & Personality

1. What are your hobbies or favorite things to do outside of school?

2. Favorite books, TV shows, or games?

3. If you could learn anything new (even outside school), what would it be?

4. If your tutor knew one fun or cool fact about you, what should it be?

Virtual Tutoring Schedule

1. What days are you available for virtual tutoring?

Check all that apply

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

2. What time(s) are you available on those days?

Write in your preferred time ranges. Example: 4:00 PM – 6:00 PM

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

3. What device will you be using for virtual sessions?

4. Do you have access to reliable internet?

If no, please explain:

Thank you!

10545 Middleport Lane White Plains, MD 20695 | Call (301)-632-6106

29962 Killpeck Creek Ct Charlotte Hall, MD 20622 | Call (301)-884-7100

816 6th street NE Washington, DC 20002 | Call (301)-281-7397

everydayplaynlearn@yahoo.com | 301-281-7397 (Text Only For More Information)

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