Gender *
Interested Stream: *
Opt for Student's Counselling *
Opt for Parent's Counselling *
Preferred mode of teaching: *
How do you access the Internet?
Shift suitable for Student counseling ( Only Saturdays) :*
Shift suitable for Parent's counseling ( Only Saturdays)
Which of the following devices are available with you for online classes?
Desktop computer Laptop computer Tablet Smart phone

A copy of your responses will be emailed to the address you provided.