"Beacon Literacy is the light at the end of the tunnel”

- Stirling and Elizabeth Vance

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Information & Free Assessment Request

Information Request

In order to answer your questions to the fullest extent possible, we request that you please provide us with the following information about the student: (* denotes required fields)

Please Choose a Request General Information Free Assessment

Name *

City

Phone Number

Email *

Which program(s) are you interested in? Adult Child

Is there a family history of reading difficulties? Yes No

Does the individual have or did he/she have any:

Early speech and/or language problems? Yes No

History of inner ear infections as a child? Yes No

Hearing difficulties? Yes No

Poor reading and/or spelling skills? Yes No

Poor math and/or number skills? Yes No

Poor listening skills? Yes No

Poor attention and/or concentration? Yes No

Known or suspected coordination difficulties? Yes No

Known or suspected visual difficulties? Yes No

Allergies? Yes No

Has the individual had their eyes tested recently? Yes No

Has the individual had their hearing tested recently? Yes No

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