Parent Intake Survey

At Revive Learning, we believe every child’s learning journey should be personalized from the very start. To do that, we ask for a few important details: Child’s Current Situation & Needs – Helps us identify exactly where your child may be struggling and what support will make the biggest difference. Interests, Likes, and Dislikes – Reading should feel fun and engaging. Knowing what your child enjoys helps us build lessons around topics they care about. Learning Styles & Goals – Every child learns differently. This helps us choose the right strategies and set goals that matter to your family. Location – If you’d like in-person sessions, this tells us which local libraries or mutual spaces are convenient for you.

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Step 1 of 8 – Child Information

Please enter a number from 3 to 18.