Assessment

Name

Age

Do you speak Arabic? Do you speak Arabic? yes no

Have you memorized or tried memorizing Qur’an before? (Includes attending Qur’an programs regularly as a child) Have you memorized or tried memorizing Qur’an before? (Includes attending Qur’an programs regularly as a child) yes no

Do you know how to read the Qur’an? Do you know how to read the Qur’an? yes no

Do you have Juz’ Ammah memorized? Do you have Juz’ Ammah memorized? yes no

Do you have trouble staying focused? Do you have trouble staying focused? yes no

What are you goals? In detail, tell me everything you think I would need to know to help you

If you have tried/ attempted to memorize before, what was your biggest struggle?