ZevTheTutor

Student Name *

First Name

Last Name

Is the student vaccinated against Covid-19?

Not vaccinated

Partially vaccinated

Fully vaccinated + 2 weeks

Mask Etiquette in Your Home: Would you prefer Zev to wear a mask during the lesson?

Prefer mask

Prefer no mask

Mask Etiquette in Your Home: Would you prefer Zev to wear a mask while walking in the house (such as between entrance and the teaching location)?

Option 1

Option 2

Radio

Option 1

Option 2