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Name
Username
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First Name
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Last Name
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Contact Info
E-mail
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About You
What is your age group?
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5 or under
6-11
12-17
Young Adult (18-24)
Adult (25+)
What is your primary goal for learning English?
*
Improve Conversational Skills
Prepare for an Exam (IELTS or TOEFL etc.)
Business English or Professional Communication
Improve Grammar and Writing
Academic Purposes (School or University)
Travel or Relocation
Other
What is your current English proficiency level?
*
Beginner (A1-A2)
Intermediate (B1-B2)
Advanced (C1-C2)
Not sure
When are you available for lessons?
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Weekdays
Weekends
Flexible schedule
How much time can you dedicate to learning English each week?
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1-2 hours per week
3-5 hours per week
6-10 hours per week
More than 10 hours per week
What skills do you want to focus on?
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Speaking
Listening
Reading
Writing
Grammar and Vocabulary
Pronunciation
Fluency and Confidence
What kind of teaching style do you prefer?
*
Structured and Formal Lessons
Relaxed
Conversational Approach
Interactive Activities
Exam Focused
Project Based Learning
Do you have any specific goals or challenges you'd like to address?
How soon do you want to see progress in your English skills?
*
Within 1 - 3 months
Within 6 months
Long-term improvement (1 year or more)
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