Tutoring Evaluation Form | CFGALA Feedback

We would love to know more about the child’s experience with tutoring. Please share your thoughts from the child’s perspective and how he or she benefited from the tutoring.

Name(Required)

GAL Email Address(Required)

GAL Phone Number(Required)

Child's First Name(Required)

Child's Age(Required)

Child's Grade(Required)

Last Three Digits Child's Case Number(Required)

Tutor/Educational Facility Name(Required)

Tutoring Start Date(Required)

Tutoring End Date(Required)

Tutor/Educational Facility Name(Required)

Gather feedback from each of the persons below about the child’s experience with this tutoring.

Teacher (Name)(Required)

Teacher Notes(Required)

(is improvement noted; where do they see struggle or further assistance needed)

Tutor (Name)(Required)

Tutor Notes(Required)

(is improvement noted; where do they see struggle or further assistance needed)

Parent/Child (Name)(Required)

Parent/Child Notes(Required)

(what have they noticed; does the child feel like it is a positive experience)

This field is for validation purposes and should be left unchanged.