Academic Tutoring & Test-Prep

T U T O R I N G . LI   F E E D B A C K  
Please use this form to give us your opinions about the tutoring you received.
		CODE # (if any):	 (Enter code, for discount.)
Name of tutor:	
			Academic / Test-Prep 

Student name:	

Grade level:		K-6 /JHS /HS
				College /Post-Grad
Approx. dates:	month / year	
	Start:	 / 20
	Finish:	 / 20
RESULTS:  Please enter test scores or grades received after tutoring
(and score-improvements from previous ones).
FEEDBACK:  Enter your evaluation of the tutoring (and the tutor).
 May we quote your feedback?  (Without mentioning your full name.)
 May we use you as a reference?  (If so, enter info for other parents/students.)
	Phone:		Email: