Full Name *

Email Address *

Date of birth *

Current Country *

Current City *

Are you serious about becoming fluent in English? *

Yes

No

Why do you want to learn English? (Select all that apply) *

If you selected ‘Other,’ please explain

How would you describe your current English level? *

Beginner – I understand very little

Lower Intermediate – I understand some, but I can’t speak well

Intermediate – I can speak, but I make mistakes and feel unsure

Upper Intermediate – I speak okay, but not fluently

Advanced – I speak well, but I want to improve more

What is your biggest frustration with learning English? *

Anything else you want to share about your situation?

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