End of Program Evaluation Form

Your Name (required)

Your Email (required)

Rate your tutor on the categories below

1=poor and 4=excellent

Professionalism
 1 2 3 4

Punctuality
 1 2 3 4

Rapport with Student
 1 2 3 4

Communication with Student
 1 2 3 4

Communication with Parent
 1 2 3 4

Scheduling Flexability
 1 2 3 4

Organization
 1 2 3 4

Presentation of Content
 1 2 3 4

What strategies did you feel were most helpful?

What was the best part of your tutoring experience?

Is there anything that you would like to see improved for future students?

Written Testimonial (optional)

Do we have permission to use your testimonial as a promotional tool for the company?
 Yes No

Would you recommend our services to a friend?
 Yes No

Central Bucks Learning Academy’s Student Referral Program:
Receive a $25 Visa Gift Card for each student who mentions your name as a referral.
This student must sign up and complete a minimum of 4 tutoring sessions.