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Your Name:

1) Where have you studied English before?

2) When do you use English outside the classroom?

3) What do you find most difficult about English?

4) What are your goals in studying English?

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r ta rta
5) How important are the following skills in English: po po
m
r yI t Im
Ve No
1 2 3 4 5
General Conversation
Everyday Situational English
Travel English
Talking on the telephone
Writing (Letters, Email etc.)
Understanding Newspapers
Meeting people socially

nt nt
6) Look at the list below. Which do you want to study in the classes? rta rta
po po
m
t Im tI
os eas
M L

1 2 3 4 5
Speaking
Listening
Writing
Grammar
Pronunciation
Vocabulary

7) Would you like regular homework?

8) How much time can you spend studying English outside of the classes per week?

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