Teach Together Pre-Consultation Form
Before we get started, please share some information that can best guide our next steps!
Let's get to know each other a bit more.
Share as much or as little as you would like!
Name
*
First Name
Last Name
Email
*
example@example.com
Name of child(ren)
*
Age(s)
*
Preferred Pronoun
*
Please Select
she/her
he/him
they/them
Current academic experience/setting.
*
Please Select
None
Homeschool
Daycare/Preschool
Elementary
Middle
High
College
Job/Career
Areas of support needed (check all that apply).
*
Not sure
School concerns
Transitions
Routines
Developmental skills
Executive functioning
Choosing academic setting
Other
If "other", please describe.
To the best of your ability, please share your goal(s) for our work together.
What is important to know about your child? (strengths, challenges, areas of growth, temperament, developmental history etc.
What package are you interested in?
*
30-minute consultation
1- hour consultation
Email consultation
Support Session- Virtual
Support Session- In-home
Not sure- please help!
What is the best way to reach you?
*
Phone call
Email
Text
If you selected 'text' or 'phone call', please provide your phone number.
Submit
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