Ivy Insight Parent Questionnaire

Student Name *

First

Last

Parent 1 Name *

First

Last

Parent 1 Email *

Parent 1 Cell Phone Number *

Parent 1 Highest Education Level *

Parent 1 Occupation *

Parent 2 Name *

First

Last

Parent 2 Email *

Parent 2 Cell Phone Number *

Parent 2 Highest Education Level *

Parent 2 Occupation *

Main Mailing Address: *

What are the names and ages of your children? *

Where are each of your children enrolled in school? *

Are Parent 1 and Parent 2 married? *

Yes
No

If no, what is the marital status of parent 1 and what is the marital status of parent 2? *

List 5 adjectives that you would use to describe your student. *

In your opinion, what are your son or daughter's greatest strengths? *

What are your or your student's top choice colleges as of now (if you have identified any)? Have you visited any of these colleges? *

Where did both parents go to college? *

Is your son or daughter interested in attending one of the colleges where you are an alum? *

Yes
No
Maybe

Are there other colleges where your student would have legacy status? If so, where? What is the relationship of the alum to your son or daughter at these colleges? *

Do you hope that your student selects a particular major? If so, which one(s)? *

Does your child have an IEP? *

Yes
No

If yes, would you like to share the copy with us?

Yes
No

If you'd like to share a copy with us, please upload here or email to info@ivyinsight.com

Click or drag a file to this area to upload.

Do you believe that their transcript accurately reflects your son or daughter's ability? *

Yes
No

Why or why not? *

What are your goals over the next 3 months? *

What might get in the way of our meeting these goals? *

How do you define success in the context of working with Ivy Insight? *

Which of these descriptions best matches your student? *

You like to work in teams and your approach to learning is more trial and error. When learning, you ask yourself "What if" type questions. You like to learn primarily from hands-on experience. You enjoy carrying out plans and involving yourself in new and challenging experiences. You have a tendency to act on gut feelings rather than logical analysis - rely more heavily on people for information than on their own technical analysis. You prefer to work with others to get assignments done, set goals, do field work, and test out different approaches to completing a project.
You like to work in teams, but your approach to learning is about observing others and everything around them. When learning, you ask yourself "Why" type questions. You are best at viewing concrete situations from many different points of view. You have broad cultural interests and like to gather information. You are interested in people and tend to be imaginative and emotional. You gravitate to dramatic arts, language, music, art, journalism, library science, philosophy, sociology, home economics, political science, anthropology, physical education careers. You prefer to work in groups, listen with an open mind, and receive personalized feedback.
You like to work independently (solo). You like abstract concepts and prefer a logical approach. You like to plan and do research and you like inductive reasoning. When learning, you ask yourself "What is there to know" type questions. You are best at understanding a wide range of information and putting it into concise, logical form. You are less focused on people and more interested in ideas and abstract concepts. You find it more important that a theory has logical soundness than practical value. You prefer readings, lectures, exploring analytical models, and having time to think things through.
You like to work independently (solo). You like to work on problems, for example, technical tasks and theories and like deductive reasoning. When learning, you ask yourself"How" type questions. You are best at finding practical uses for ideas and theories. You have the ability to solve problems and make decisions based on finding solutions to questions or problems. You prefer to deal with technical tasks and problems rather than with social and interpersonal issues.

Is there anything else you'd like to add about your son or daughter that you haven't already mentioned?