Schedule A Call We’ll ask you a few questions first to help us understand your needs. Then you will receive an email with details about setting up our call. We look forward to speaking with you! Which best describes you? Which best describes you? Parent College Student Other Email What is your full name? What is the best contact number to reach you? How did you hear about GEL? What grade is your child in? (Please note that the practice serves students that are in 8th grade and above.) My child is in: Home school Middle School High School College My child struggles with the following: Consistently turning in assignments on time Yes No Performing well on tests Yes No Procrastination, especially when it comes to doing schoolwork Yes No Is your child currently aware that you are looking into coaching services for them? Yes No Do you believe your child is resistant to receiving support for their challenges? Yes No Please describe the specific challenges your child has as it relates to their academics. Please provide a detailed response. Respondents that do not provide a detailed response will be asked to resubmit the form with more detail: Email What is your full name? How did you hear about GEL? What is the best contact number to reach you? I struggle with the following: Consistently turning in assignments on time Yes No Performing well on tests Yes No Study skills Yes No Effectively managing my time Yes No Procrastination, especially when it comes to doing schoolwork Yes No Keeping a neat and organized backpack Yes No Effectively keeping track of my academic deadlines and obligations Yes No Getting started on complex tasks such as projects or difficult assignments Yes No Transitioning from preferred tasks (i.e video games) to non-preferred tasks (i.e. homework) Yes No Planning ahead to complete long-term assignments Yes No Please provide a detailed response to each of the following questions. Respondents that do not provide a detailed response will be asked to resubmit the form with more detail. Please list the primary academic and organizational challenges impacting your right now: List at least 3 areas where you think you might be inefficiently using your time: What else do I need to know about you and\or your needs to best help you? Full Name Email Address Phone Number Message Submit