Client Questionnaire | Cartometry

Hello!

Thank you for choosing Cartometry Exam Prep, Your Tutor Matchmaker! Please take a few minutes to fill in the blanks applicable to you or your minor student. Required blanks are marked with an *. If a blank doesn’t apply, please indicate “n/a”. If you don’t know what to put, please indicate “unknown” and we will be happy to discuss it with you.

Preferred Name*

Contact Email*

How You Heard About Us

Relationship to Student/Learner*

Self

Parent/Legal Guardian

Teacher

Other

Skill or Subject*

Skill Level or Academic Level/Year*

Course Name*

Lesson/Test Topic*

Standardized Test Name*

Diagnoses, conditions, or special needs that may affect learning (include accommodations or instructional considerations that may be needed)

Educational Philosphy (Montessori, Progressivism, Essentialism, etc.)

Preferred Teaching Style (Teacher-Centered, Student-Centered, Experiential, etc.)

Preferred Language*

Preferred Tutor Gender

Online or In-Person Tutor*

Online

In Person

Either/No Preference

City/County and State (if In-Person)*

Approximate Start Date/Week*

Appointment Frequency Desired ( hours per week, month, semeseter, etc.)*

Maximum Duration Desired (total weeks, months, semesters, etc. or specific end date)*

We will add a 10% charge to your tutor’s price as a brokerage fee for this service. The minimum total transaction amount is $330.00. (tutor = $300, we = $30). Check this box if you understand and agree.*

Agree

Indicate your minimum and maximum financial ability based on your desired price and duration.

For example:

$15/Hour for 1 Hour or $600/Hour for 80 Hours.

$100/Month for 1 Month or $13,000/Month for 10 Months.

$400/Semester for 1 Semester or $48,000/Semester for 8 Semesters.

$900/Year for 1 Year or $108,000/Year for 4 Years.

... Or anything in between.

Minimum Desired Price*

Maximum Desired Price*

Minimum/Maximum Desired Price Time Unit*

per Hour

per Day

per Week

per Month

per Semester

per Year

Additional Information (Please provide any other information we should know about you or your tutor preferences.)

Do you have any questions for us?

Please read the following important information and check the boxes if you understand and agree.

If you change your mind about using a specific tutor before they receive payment, we will be happy to help you find a different one. If you change your mind about using all tutors before any receive payment, you will be issued a partial refund equivalent to the full price of the tutor. The 10% brokerage fee paid to Cartometry Exam Prep will not be refunded.*

Agree

Email is our method of communication. It's the most beneficial. We want everything that gets discussed between us to be clear, with no misunderstandings, and we want our discussions to be available for review on both ends at any given time.*

Agree