This form will ask questions about your specific English language needs & goals.

Name *

First

Last

Email *

Your Occupation

Have you studied English before? *

• Yes
• No

Where did you study English?

Have you ever taken an official English Exam? *

• Yes
• No

Details of Exam

Name of exam, results, Year taken

What are your goals for using English in the future? *

• To find work
• To do further study
• To be confident in speaking English to anyone in any situation.
• To be able to watch English TV and movies
• Other

Other Goal

What is the most difficult for you now? *

• speaking English in casual situations (social situations, friends, etc.)
• speaking with people face to face who service the community (shop assistants, doctors, teachers, bus drivers, etc.)
• Reading English texts (Internet, books, magazines, etc.)
• Speaking on the telephone
• Other

Other Difficulty

Who do you need to speak English to? *

• Friends
• Family
• Work Colleagues
• Customers
• Managers

What other points do you want your teacher to know about you and your English learning?

Submit