Sample form. Try it out: nothing you enter is sent or saved.
Student pre-assessment
Step
1
of 3
About you
Student name
*
Grade
*
Select…
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
College / Adult
Subject
*
Select…
Math
English
Science
French
History
Coding
Other
Next
Where you are now
Current grade or score
Topics you feel confident in
Topics you struggle with
*
How confident do you feel in this subject?
*
★
★
★
★
★
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Next
Your goals
Upcoming tests and dates
For example: Unit 3 test, Nov 14.
How do you learn best?
Seeing worked examples
Lots of practice problems
Talking it through
Videos and diagrams
Not sure yet
Goals for the next 3 months
*
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Submit
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Thanks! This helps us plan lessons that start in the right place.