Inquiry Form

Thank you for inquiring about working together. Please fill out the form below so I can hear more about what dyscalculia supports you are specifically looking for. I will respond with some options for support.

Name

First Name

Last Name

City/State or country you are located in

How did you hear about me?

Are you a parent of child with dyscalculia, an educator, or dyscalculic adult?

Age or grade of student(s)

Tell me about your student(s). Or if a dyscalculic adult, about yourself. Any learning disabilities, diagnosed or not, school situation, supports tried so far, etc.

Are you hoping to work with me individually, one-to-one? Or with a group/team of people?

What's your biggest challenge related to dyscalculia?

Have you received any prior dyscalculia education or read any books on dyscalculia?

What guidance and support would you most hope to receive from me?

When are you hoping to start work together?

Anything else you want to share about yourself that would be helpful for me to know?

Inquiry Form

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