Syllabis Educational Needs Analysis
Personal
Your Full Name
*
Personal Information
Contact Number
*
Personal Information
Email Address
*
Personal Information
Residential Area
Personal Information
Occupation
Personal Information
Family Information
Number of children in the family:
Number of children you are considering enrolling:
During the day, your child is currently under the care of his/her
Father
Legal Guardian
Both the mother and father
Other
No one
Please select
Child's Information: One assessment needs to be done per child.
Child's Full Name
Personal Information
Child's Age
Child's current grade:
R
1
2
3
4
5
6
7
8
10
12
Please select
Does the child utilize or require educational/academic support (a parent/guardian/sibling/tutor)?
Yes
No
Please Select
If you answered yes to the above question, please specify.
Academic Information
Personality Profile
Does your child take on active role in his/her academics?
Yes
No
Please Select
Your child's academic strengths include:
Your child's academic weaknesses include:
Does your child's academic strengths outweigh their academic weaknesses?
yes
No
Please Select
How would you describe your child's time management skills?
Excellent
Good
Average
Bad
Please select
Does your child utilize any form of a daily planner? (This could include to-do lists)
Yes, my child always plans his/her day.
My child makes use of planners but does not use them daily.
My child very rarely uses a planner. I generally help with planning.
My child never uses a planner.
Please Select
How capable is your child of dealing with change?
Fully embraces change.
Often opposes change.
Will need some help/guidance through any major change.
Please Select
Your child's extra-curricular activities include:
Personality
How many hours a week does your child spend on these activities per week?
Is your child easily distractible?
Yes, my child is extremely distractible.
Yes, my child is easily distractible, but he/she manages it very well.
No, my child is not easily distractible.
Please Select
Does your child enjoy reading? (This does not have to be academic books; it could be story books as well)
Yes my child loves reading and reads very often.
My child enjoys reading but does not read very often.
My child never reads books, unless he/she must.
Please Select
Does your child get overwhelmed by large volumes of academic work?
Yes, my child gets very overwhelmed by large work loads.
My child gets overwhelmed but he/she handles it very well.
No, my child handles large workloads very well.
Please Select
Select the most relevant statement for your child.
Enjoys engaging with people.
Prefers their own company.
Please Select
Select the most relevant statement for your child.
Organised and systematic.
Spontaneous and flexible.
Please Select
Does your child generally finish his/her work/projects well in advance or leave it for the last day?
My child always finishes his/her work well in advance.
My child rarely leaves work for the last day, but doesn't always finish his/her work early.
Work/projects are generally finished a day before its due.
Please Select
Academic Profile
Your child is currently enrolled in a
Private School
Public School
Online School
Home School
Syllabis Education Distance School
Please Select
What made you consider changing your child's medium of education.
Personal Information
Does your child support the decision to change his/her medium of education?
Yes
No
Please Select
What is your child's current academic average?
0-40%
41%-60%
61%-80%
81%-100%
Please Select
How does your child feel about their current academic performance?
Satisfied
Unsatisfied
Neutral
Please Select
How do you feel about your child's current academic performance?
Satisfied
Unsatisfied
Neutral
Please Select
Who takes up the most of the responsibility when it comes to your child's education?
My child.
Me, the parent/legal guardian.
Please Select
Does he/she have an academic goal that he/she wants to obtain this year? Is this goal subject specific, if so, what subjects?
Does your child work well under time constraints?
Yes, my child deals with time constraints and pressure very well.
Unsure
No, not at all.
Please Select
How many hours a week does your child spend on academics?
Select the most relevant statement, pertaining to your child's academic responsibilities.
Needs to be reminded to participate/complete these tasks.
Needs to be motivated/helped to complete these tasks.
Is self-sufficient in participating in and completing these tasks.
Please Select
Are there specific academic tasks/activities that your child needs help with?
Yes
No
Please Select
Is your child comfortable in seeking out assistance when he/she needs it?
Yes
No
Please Select
Does your child suffer from any barriers to their learning? (Academic, emotional, psychological, physical)
Yes
No
Unsure, but I suspect...
Please Select
Do you think your child will be able to remain focused for 30 to 60 minutes?
Yes
No
Unsure
Please Select
Does your child prefer to work at his/her own pace when he/she is doing academic work?
Yes
No
Unsure
Please Select
Select the option that your child is most interested in:
Academics
Sports
Hobbies
Other extra-curricular activities
Please Select
Please specify the relevant hobbies/sports/extra-curricular activities below.
Personality
Connectivity
Does your child have access to a reliable device such as a laptop, tablet or desktop computer?
yes
no
Please Select
If you answered no, would you be interested in purchasing a tablet from Syllabis?
Yes
No
Please Select
Does your child have access to stable, reliable Internet connection?
Yes
No
Please Select
If yes, please select the connection type.
3G
LTE
ADSL
Fibre
Please Select
Enrolment
When are you considering enrolling your child with Syllabis Learning?
Right now!
Next term
Later in the year
Next academic year
Please Select
What are you willing to spend per month on your child's education?
R0-R500
R500-R1000
R1000-R2500
R2500-R5000
Please Select
Would you like to learn more about our Financial Services Insurance Products? (Educational Insurance, Life Cover and Investment Plans)
yes
no
maybe
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