First, I am so happy to be the first one to review Mathnasium! \n\nMy daughter is in 4th grade, but works a minimum of 2 grade levels up in her class (so they do 6th grade math most of the time). Aside from being accelerated, the class she's in doesn't follow the 4th grade (or even 6th grade) math standards. The issue that we have found is that there are gaps in her math knowledge. I think the gaps are due to a combination of continuity issues at her school from grade to grade, as well as not having enough practice on each concept. I also think she tends to rush through the work and make sloppy errors. All of this adds up to bad grades and intense frustration with math. Math is also one of those subjects that it's hard to work on with your child when they are frustrated - it can easily escalate into a negative situation. Enter Mathnasium!\n\nWe started Mathnasium approximately 7 weeks ago, and my daughter has went from Ds and Fs on weekly math tests to B's. Yesterday she brought home an A+ perfect score!! \n\nYou pay a flat monthly fee and go as often as you want. As with anything else, the more you go, the better the results. For pre-algebra, you go for one hour each session (we go 3x/week). The first half hour you can get homework help and test review, and the second half you work on the proprietary Mathnasium worksheets. The worksheets are designed to work on concepts that are not mastered based on pre-testing when you sign up, and ongoing testing (so, you have to \"test\" out of each topic from what I understand). If you don't test out, you keep doing the worksheets until you get it down. \n\nMy daughter LOVES going to Mathnasium, and her math confidence level has increased dramatically. The tutors there are huge math lovers and do a great job at explaining the concepts and keeping kids from getting frustrated. She usually works with Miles, he is fantastic and can really relate to the kids. \n\nFor the past two years, she has complained that she is \"bad at math\" - which was so sad!  When girls give up on math so early, it can be such a downward spiral into middle and high school. She proclaimed yesterday that, \"Integers are SO FUN! Do you love integers too?\" If that doesn't demonstrate the effectiveness of Mathnasium, nothing does. \n\nThank you Mathnasium!!