Please complete the following form for more information about me or any of my services. The second section is optional and intended for ADHD students only. I look forward to helping you!
* = required fields
First Name: *
Last Name: *
Email address: *
I am interested in (control-click for multiple): *
Tutoring Testing Accomodations Consulting Parent Coaching Self-Prep Planning Mental Toughness Training
Student's class year in school: * FreshmanSophomoreJuniorSeniorOther
Preferred test: SATPSATACTPLANOther
Intended testing date:
Most recent composite practice test score:
Composite score goal:
I most need assistance with the following test sections (control-click for multiple):
SAT Math SAT Reading SAT Writing ACT Reading ACT Math ACT English ACT Science ACT Writing
Additional comments:
Which ADHD type? InattentiveHyperactiveCombined
Approximate date of diagnosis?
What accommodations does the student receive in school?
Any other diagnoses (learning disabilities, etc.) or relevant additional information?