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$95 Diagnostic Assessment

A Diagnostic Assessment will provide information needed to make an informed decision regarding your student's education. After the Diagnostic Assessment, Sylvan can identify the "skill gaps" and create a plan to help the student catch up.

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Parent's First Name*
Parent's Last Name*
Home Address*
City*
Country*	- Select One - USA CANADA BAHAMAS BAHRAIN CAYMAN ISLANDS HONG KONG KUWAIT QATAR UNITED ARAB EMIRATES
State / Province*	- Select a Country from Above -
Zip/Postal Code*
Phone Number*	Home     Work     Mobile
Email Address*
Choose a Center*
My Child's Age:	- Select One - 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Other
My Child's Grade:	- Select One - Kindergarten 1 2 3 4 5 6 7 8 9 10 11 12 Other
Are you	- Select One - New to Sylvan Working with Sylvan, but not enrolled A currently enrolled Sylvan family Previously enrolled
How did you discover Sylvan?	- Select One - Referred by friend, family or school Saw Sylvan advertising Found Sylvan on the web Saw the Sylvan in my neighborhood Met a Sylvan educator in my community
On a scale of 1-10, please rank yourself on how soon you plan to take action, with 10 being immediately	1 2 3 4 5 6 7 8 9 10
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