Congrats on Taking your First Step!

In order for our first call to be even more productive and beneficial for you, we would like for you to fill out this quick questionnaire.

Once you finish, you will be directed to sign up on a calendar for  our call!

Contact Information

General Information

Family 

Check which of the following best describes your situation:

Family situation
How many children do you have?

Child Specific Questions

Please fill out these questions for each of your children!

Check which of the following best describes your first child:

Curret School Situation
Is your child special needs?
Are there any executive functioning skill issues?
Is your child an athlete who wants to play (or is playing) in high school?

If you only have one child skip to the Final Section!

Check which of the following best describes your second child:

Curret School Situation
Is your child special needs?
Are there any executive functioning skill issues?
Is your child an athlete who wants to play (or is playing) in high school?

If you only have two children skip to the Final Section!

Check which of the following best describes your third child:

Curret School Situation
Is your child special needs?
Are there any executive functioning skill issues?
Is your child an athlete who wants to play (or is playing) in high school?

If you only have three children skip to the Final Section!

Check which of the following best describes your fourth child:

Curret School Situation
Is your child special needs?
Are there any executive functioning skill issues?
Is your child an athlete who wants to play (or is playing) in high school?

If you only have four children skip to the Final Section!

Check which of the following best describes your fifth child:

Curret School Situation
Is your child special needs?
Are there any executive functioning skill issues?
Is your child an athlete who wants to play (or is playing) in high school?

Final Section

Check which of the following best describes your preference and current situation:

How would you prefer to have us contact you?
Main Motivation Behind Homeschooling
What are your favorite educational resources (such as online websites or applications)?

Thank you for filling out the questionnaire!

Click on the button below to choose a time slot on Leslee's calendar for your first call!

224-286-4696  |  hello@aspireeducation.us

  • YouTube
  • RSS
  • LinkedIn
  • Facebook

Copyright © 2020 Empower Ventures, LLC, All rights reserved.  Terms of Service  Privacy Policy