ACT Tutoring Intake Form by Purpose Tutoring™

Name *

First Name

Last Name

Phone

(###)

###

####

When do you plan to take the ACT? *

MM

DD

YYYY

Do you usually run out of time, finish early, or finish right at the limit?

Finish early

Finish right on time

Run out of time

Other

When you make an error, what do you usually find is the reason?

Running out of time

Misreading the question

Careless errors

Not knowing the content

Other

What materials have you used to prepare for the ACT so far? *

Official ACT prep

Practice books

Tutoring

Online resources

Other

None

What is your preferred contact method? *

Email

Text

Parent's phone or email

Other