New Student Questionnaire Please fill out this form as best you can at least 24 hours before your first lesson. If you have any questions, please email us at hello@speakenglishny.comPlease enable JavaScript in your browser to complete this form.Name *FirstLastEmail *What is your zip code? *Phone Number *GenderMaleFemaleI'd prefer not to answerHow many lessons would you like per week?What country are you from?What language do you speak? *Why do you want to learn English? *Have you studied English in the past? If yes, for how long? *How would you describe your level of English? *BeginnerHigh BeginnerIntermediateHigh IntermediateAdvancedI don't knowAre there any specific areas you would like to work on? *GrammarConversationPronunciationVocabularyReadingWritingSpellingBusiness EnglishTechnical TermsOtherWould you like to use a textbook for your lessons? (Cost of textbook is additional)YesNoMaybe, let's discuss this at our first lesson.What type of lessons do you prefer? *Activities and WorksheetsGuided ConversationA little bit of bothDo you have any questions or comments?WebsiteSubmit