Community Based English Tutoring

Needs Assessment Form

1. How many children do you have?

2. What grade level is your child in?

3. What school does your child go to?

4. What subject is your child best at?

5. What subject does your child need help in?

6. Where does your child study?

7. How many hours does your child study?

8. Do you help with your child’s schoolwork?

9. Do you have a computer? Apple or IBM? CD-ROM? Internet access?

10. Do you have a TV and VCR?
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