Parent Questionnaire

Hi there!

Thank you so very much for considering NEAT Services as your child’s partner in their educational journey. Below is a form to help us get more information about your family and your child. Please be as complete as possible.

Thank you, and we look forward to working with you!

Wendy with Charlee

“The beautiful thing about learning is that no one can take it away from you.”


    Please fill out the following info!

    Please tell us a little about your child:

    What is your relationship to the child*?

    Child's Gender:

    Child's age: (in years)

    Child's grade level:

    What is the name of your child's school?

    What is the name of your child's teacher?

    What is your child's disability or eligibility?

    Does your child have a current IEP? (Individualized Education Program)

    If yes, when was the last IEP meeting?

    Tell us about your child's current placement in school: (pick more than one if necessary)

    Select other services your child might get:

    Does your child have behavior issues"

    If yes, where?

    Please describe your child's behavior issues:

    Do you receive the following funding? (Check if applicable)

    Preferred tutoring day and time slots:

    Please attach most current IEP: (PDF or DOC files only)

    Please let us know if there's anything else you would like to share.

    How did you hear about us?