SpiralTutors – Student Intake Form
Parent's Name
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Preferred Contact Method
*
Please Select
Email
Phone number
How did you hear about SpiralTutors?
*
TikTok
Instagram
YouTube
Google Search
Recommendation from a friend
Other (please specify)
Other
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Name of Student
*
First Name
Last Name
Student’s Year Group
*
Please Select
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
Year 13
Exam Board
*
AQA
Edexcel
OCR
Type option 4
Other
Which tier is your child currently studying?
*
Please Select
Higher
Foundation
Not Sure
Subjects Needed
*
GCSE Maths
GCSE Physics
A‑Level Maths
A‑Level Physics
What challenges is the student facing?
e.g struggles with algebra”, “low confidence”, “poor exam technique”etc
Has the student had tutoring before?
Yes
No
What worked or didn’t work with previous tutoring
What grade is your child currently working at?
*
Please Select
Grade 4
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Not Sure
Target Grade
Please Select
Grade 5–6
Grade 7–8
Grade 9
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