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English as a Second Language

Title

Mr. Mrs. Ms. N/A

First Name

Last Name

Please select your response below.

1. Have you ever taken an English class before?

Yes No

What is your native language?

2. What level of English do you consider yourself?

Beginner Intermediate Advanced

3. Why are you taking English? Select your choice.

For my job For school To get into college/high school Other

Other reason for learning English

4. What do you want to know more about? (Select all that Apply)

Learn more English grammar Improve my reading skills Discover the 5 steps of writing a great essay Pronunciation Conversations Increase my vocabulary READERS ARE ACHIEVERS ® Reading Program Career Coaching for Advancement ™

5. What materials do you read most often?

Newspapers in my native language English newspapers Other

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