Assessment Form | Imaginarium Learning Centre

Full Name:

Age:

Current Grade:

Full Name:

Relationship to Child:

Email Address:

Phone Number:

Preferred Method of Contact:

Email Phone

What subjects does your child enjoy the most?

In which subjects does your child face the most challenges?

How does your child prefer to learn?

Are there any specific learning goals you have for your child?

Please provide a brief overview of your child’s current academic performance:

Has your child ever struggled with homework or specific topics in school? If yes, please specify:

Are there any particular concepts or skills you would like us to focus on?

Would you prefer the assessment to be conducted in-person or online?

In-person Online

Please indicate your availability for the assessment session:

Does your child have any special learning needs or disabilities that we should be aware of? If yes, please provide details:

Is there any other information you would like to share about your child that might help us in the assessment process?

Do you have any questions for us?

What are your child’s hobbies or interests outside of school?

Thank you for taking the time to complete this form. We look forward to connecting with you soon to discuss the next steps.