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A. Contact and billing Information
 
First name Surname
Phone E-mail
Skype name and/or MSN Messenger
Male / female male female Year of birth
How did you hear about our school?    
Billing & invoicing of the lessons, on: personal address company name  
Street and number    
Postal Code Town
State, if applicable Country

B. Timetable

Earliest time of day that you can start your lessons:
Latest time of day that you want to end your lessons:
Duration of one lesson: 60 90 120 minutes
Number of lessons per week:
   

Day(s) of the week that you prefer having lessons:

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Day(s) of the week that you can not have lessons:

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
   
Preferred starting date:
Other remarks about the timetable:

C. Language

Language you wish to study Other languages on request

D. Other requirements (Click here to skip the section below if already done or if booking the course for someone else)

1. Self-assessment

How do you evaluate your language skills? Which skills do you like to improve?
(1- not very important, 5 - very important)

 

None

Some

Average

Good

Very Good

Grammar

Speaking

Listening

Reading

Writing

 

1

2

3

4

5

Grammar

Speaking

Listening

Reading

Writing
2. Specify your objectives

3. In which of the following situations do you intend to use the language?

1 - rarely, 5 - very often (please select as applicable)

 

1

2

3

4

5

1. Tourism, visits abroad or social life

2. Speaking at work (meetings, conversations and telephone calls)

3. Listening at work (meetings, conversations and telephone calls)

4. Exam preparation

5. General cultural interests

6. Public speaking (making presentations, training, sales)

7. Reading reports, correspondence, brochures, manuals

8. Writing business letters and reports

9. Computer, e-mail and internet use

10. Other (specify below, under 'additional comments')

4. If you are especially interested in learning a new language for work purposes, please give us further details of what you would find most useful.

5. Additional comments

 

Ready for the test?

As mentioned earlier, this ability test will help us to determine your starting level and what you most want help with. You will only receive your overall score. Your answers will be assessed by your teacher.

(if already done, or if booking the course for someone else)
 
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