Questionnaire
1. What's your name?
*
Name
Surname
2. What's your e-mail address?
*
esempio@esempio.com
3. What's your phone number (optional)?
Please, enter a valid phone number.
Format: (000) 000-0000.
4. May I contact you to set an online preliminary meeting? (The meeting will be free and non-binding. Duration: 30 minutes).
Yes, I agree to be conacted by you.
No, I do not agree to be contacted by you.
5. Where are you from?
6. What do you do?
7. Have you ever learnt Italian?
8. If you have already learnt Italian, where and how long?
9. Why would you like to attend an Italian course with me?
10. What are your goals?
11. Complete this sentence: "I will be satisfied with my Italian, when I... "
12. Where do you need to speak better Italian? (At work, at university, with your friends, etc...)
13. In which time slot would you prefer to have lessons ?
In the morning from 9am to 12am.
In the early afternoon from 3pm to 5pm.
In the late afternoon from 6pm to 8pm.
It makes no difference.
15. Consent to the use of personal data in compliance with privacy laws:
IN COMPLIANCE WITH THE ITALIAN LEGISLATIVE DECREE NO. 196 DATED 30/06/2003, I HEREBY AUTHORIZE YOU TO USE AND PROCESS MY PERSONAL DETAILS CONTAINED IN THIS DOCUMENT.
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