Trial Class Intake Form We are so excited to help you on your language learning journey! Please fill out our intake form below so we can serve you better by getting to know you and understanding your unique needs. TELL US MORE ABOUT YOU "*" indicates required fields First Name* Last Name* Company Name*(if applicable) Email What is your time zone?* Give us a few days and times that you can have class.*For example: Monday - Wednesday, 2 hours between 8 am and 1 pm. What is your current level?* What topics do you discuss in the language that you want to improve?*What conversations do you want to focus on? What will you be doing in the language you wish to improve?*Talking with clients? Talking with employees? Tell us exactly what you will be using it for. What do you believe would help you improve?* Role Play Increase Vocabulary Conversations with Corrections Pronunciation Work Help with Writing Emails / Edit What I Write Speaking as Much as Possible What percentage of your day is spent ONLY speaking (oral communication) in your second language?*Be honest! If you are speaking in your second language for 8 hours constantly at work, then you would answer 100%. If you only email in your second language but do not speak much, this would be 0-5% How confident are you when communicating at a dinner in your second language?*On a scale of 1-10 with 1 being the least confident (I typically stay quiet) and 10 being the most confident (I speak and lot and enjoy myself).12345678910How confident are you speaking on the phone in your second language?*On a scale of 1-10 with 1 being the least confident (I try to talk as little as possible) and 10 being the most confident (I speak up a lot and share my thoughts and opinions).12345678910How confident are you when expressing yourself in writing?*On a scale of 1-10 with 1 being the least confident and 10 being the most confident.12345678910What was a favorite thing an instructor did in the past?*What did you like most about a past class?What is something you MOST disliked from a past language class?*What do you NOT want to do in your lessons?CAPTCHACommentsThis field is for validation purposes and should be left unchanged.