Consulting Information Page

All information will be kept confidential.

Name, address, email:

Do you currently homeschool?

Where do you currently (or plan to) teach your children?

What do you feel is really working with this setup?

What do you feel is not working with this setup?

Child's Name, Age:

Curriculum used for this child:

Your Child's Strengths:

Your Child's Weaknesses:

Areas you would like more help with in helping your child:

Behavior Issues:

Life skills you feel this child should have by now:

Other information you would like me to know: