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VIRTUAL TUTORING SURVEY
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Parent's Name
*
First
Last
Child's Name (One Form Per Child)
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First
Last
Student's Gender
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Male
Female
Phone Number
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Email
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What school does your child attend?
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Child's Grade Level
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On a scale of 1-5, how helpful was this tutoring program for your child?
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Option 1 - Not helpful at all
Option 2- Somewhat helpful
Option 3 - Helpful
Option 4 - Very helpful
Option 5 - Extremely helpful
How was this tutoring experience for you and your child?
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Have you seen progress from your children since beginning these sessions?
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Yes
No
What types of improvements have you seen in your child?
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What specific improvements have you seen in your child during this process? Please check all that apply:
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Confidence Improvements
Self-Esteem Improvements
Academic Improvements
Performance Improvements
Learning Improvements
Attitude Improvements
Social Skill Improvements
What did you enjoy most about this tutoring experience?
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What did you dislike about this tutoring experience?
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Any additional comments or suggestions?
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