Step 2 Of 2: Please Complete This Brief Survey To Reserve Your Free Consultation

Please fill out the form below so that I can prepare for your appointment.

If I don’t receive an application from you, your appointment will be cancelled.

Your first name*

Your last name*

Best email address*

Please state your call preference*

Phone number (if you asked for a phone call)

What school year is your child currently in?*

What school does your child currently attend, if any?*

Has your child been diagnosed with having a learning difficulty and if so which one(s)?

Does your child need help in Maths and/or English?*

What do you feel is your child's biggest obstacle to flourishing at school (and in life)?*

Are you able currently to invest financially in a mentoring programme to support your child's immediate and long-term development and future?*

If you are accepted how soon can you get started?*

Is there anything else you feel to mention here that would suggest that we would be a great fit to work together?*

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henry@henrydingle.com