Consultations (Step 2) — Nova Language College

Please complete your information!

Your Name prefix, Mr or Mrs?

Personal Information

Full Name

Phone

E-mail

Date of Birth (Optional, helps in understanding age-related learning needs)

Preferred Contact Method

Language Background

Native Language

How long have you been studying English?

Current English Level (Self-assessment)

Have you taken any English proficiency tests? (e.g., IELTS, TOEFL, or others)

Yes

No

Q1. What was the name of the test?

Q2. What was your Writing score?

Q3. What was your Reading score?

Q4. What was your Listening score?

Q5. What was your Speaking score?

Consultation Goals

What is your primary goal for this consultation session? (e.g., Assessing English level, Creating a study plan, Discussing specific challenges, etc.)

Which areas of English do you want to focus on during the consultation? (Speaking, Listening, Writing, Reading, Grammar, Vocabulary)

Are you interested in group classes, private lessons, or both?

Learning Preferences

Do you have any specific language goals or challenges? (Describe briefly)

Additional Information

How did you hear about us?

Anything else you would like to share before the consultation?