Teacher Feedback Form

by | Feb 13, 2025 | For teachers

Questionnaire for teachers
Teacher Survey Form
We sincerely appreciate your time and effort in providing feedback on our therapeutic tutoring services. Your insights are invaluable in helping us refine our approach and better support the students we serve. Your observations on student progress, instructional strategies, and areas for improvement guide us in creating a more effective and supportive learning experience. Thank you for your feedback!
Child Grade
Please be as specific as possible, e.g.: Dyslexia tutoring, anxiety tutoring, ADHD tutoring, etc.
Did you notice improvements in:
In which areas have you seen the most progress?
Selected Value: 0
Satisfaction Rating (0 = strong no, 10 = strong yes)
Selected Value: 0
Satisfaction Rating (0 = strong no, 10 = strong yes)
Selected Value: 0
Satisfaction Rating (0 = strong no, 10 = strong yes)
Selected Value: 0
Satisfaction Rating (0 = low, 10 = high)
Would you be open to participating in a brief follow-up discussion?
Please make sure you included an e-mail address above if you check yes.
Consent to Publish your feedback *
* Only quotes, service received, and child grade, we'll never publish even your or their first name.

Questionnaire for teachers

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Dr. Alan Jacobson, Psy.D., MBA Founder and Clinical Director
Dr. Alan S. Jacobson, Psy.D., MBA, is the Founder and Clinical Director of Therapeutic Tutoring, a specialized educational therapy service integrating psychological expertise with structured academic intervention. With over 20 years of clinical experience, he oversees evidence-based cognitive educational therapy and individualized tutoring for students and adults with dyslexia, dysgraphia, dyscalculia, executive functioning challenges, and other learning disabilities. His work bridges the gap between traditional tutoring and clinically informed educational therapy services. Dr. Jacobson has a doctorate in psychology, a masters in business administration, and used to be a certified school psychologist. He founded Therapeutic Tutoring after observing that many students received testing or accommodations but lacked coordinated, high-quality follow-through. His approach emphasizes durable skill development, executive functioning growth, and restored academic confidence — not just short-term grade improvement.
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Psychology Therapy Learning disabilities
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