Strengths:

 Math, Drawing___________

Tutoring
Questionnaire
! First
When you
Start Tutoring a
Student!
 
©2013 mybookboost.com
By Carrie Lane

Interests: Legos, Star Wars_________

 Tutoring  Ques1onnaire  
 
Child’s  Name  _________________________________________  
Age/Birthday  _________________________________________  
Parents/Guardians  ____________________________________  
Parent/Guardian  Phone  Number(s)  _______________________  
____________________________________________________  
 
Child’s  Interests  ______________________________________  
____________________________________________________  
Strengths  ____________________________________________  
____________________________________________________  
Concerns  ____________________________________________  
____________________________________________________  
 
District/School  _______________________________________  
Grade  Level  __________________________________________  
Teacher  _____________________________________________  
Approximate  Reading  Level  (if  applicable)  __________________  
Notes  _______________________________________________  
____________________________________________________  
____________________________________________________  
____________________________________________________  

© My Book Boost
Thank you for choosing this questionnaire! Your feedback
is greatly appreciated!

If you’re tutoring reading to Preschool, Kindergarten, or 1st

grade students, be sure to check out the My Book Boost
resource in my store to see if it's a good fit for you.

It’s a list of library books that starts with easy books and as
the levels increase, the difficulty of the books increases. It's
great for tutoring!

Carrie
!
http://www.teacherspayteachers.com/Store/Carrie-Lane

My Blog: www.mybookboost.com
 
Thanks to Teaches Third in Georgia for the cover page font!
   
http://teachesthirdingeorgia.blogspot.com
 
Thank you to Teacher Karma for the frame!
 
https://www.teacherspayteachers.com/Store/Teacher-Karma
   
 
 

 
 
 
  © 2013 mybookboost.com