Title:
please choose Mrs
Miss Ms Mr
First
Name* :
Surname* :
Address* :
House
No.* :
Town* :
Postcode* :
County:
Phone*
(home):
Phone*
(work):
Email* (home):
Email*
(work) :
Mobile:
Fax:
1.0
Are you enquiring about tuition, translation or cultural awareness courses?
please choose
Tuition Translation
Cultural Awareness Course
For
tuition please continue with 2.0,
For
translations please go to 13.1
For
cultural awareness courses please follow questions for tuition.
2.0 What language
are you interested in ? please
choose Danish Dutch English
(EFL) Finnish French German Greek Hebrew Hindi Italian
Japanese Polish Brazilian
Portuguese Russian Swedish Spanish Urdu Other
2.1
If 'other' applied in 2.0 please state language now:
2.2
Is it for corporate or private language training?
please
choose Private Corporate
2.3
If corporate, or tuition to be held at company address, please state address with
postal code:
3.0
What is your native language?
4.0
Please state any other language/s you might speak already:
5.0
How would you describe your knowledge of the language, you would like to learn?
please choose
no knowledge at all
only very basics known
short conversation
can be held anything
above, also business level 6.0
Reason to learn the language?
please choose Company
purposes Private purposes Holidays
GCSE Exam A-level
Exam Other School Exam
6.1 Please give us some more details, on why you are interested in the language
or why you need to learn it.
6.2
For how many people is the tuition enquiry?
please choose 1
2 3 4
5 6 7
8 9 10
6.3
Is the tuition for adults or children? Please specify, with ages for children:
6.4a
If tuition is for a school exam, please state a) which school you are attending
at the moment & b) what other languages you take at school:
a)
b)
6.4b
If tuition is for a school exam, please state a) which examination board the exam
is with & b) which text book you are using in school: a)
b)
6.5
If more than one student, what are the others' level of knowledge?
7.0 Is there
any time pressure, to learn the language by a certain date?
please choose
No Yes
7.1 If yes,
please state the date:
8.0
Where would you prefer to be taught?
please choose At
my company address At own premises
At tutor's address
8.1 If tuition
to be held at a different address than home, please state address & for London
customers the nearest
tube station of this address.
8.2
For London customers, what is your nearest tube station?
9.0
If necessary, how far would you be willing to travel?
10.0
What day would you like the tuition to take place?
please choose
Monday Tuesday
Wednesday Thursday
Friday Saturday
Sunday 10.1
What day couldn't you be taught on at all?
10.2
At what time would you like the tuition to take place?
please choose
Early morning morning
lunch time afternoon
late afternoon/early evening
11.1
How often and how long would you like the tuition to take place?
11.2 Please
state your preference:
please choose My
teacher should be a native teacher only. I'm
fine with a non-native teacher as well. 11.3
We also offer online tutoring, using headsets & webcams, i.e. this is absolute
interactive online tuition (webcam-to-webcam = face-to-face, with full audio &
vision). Please state your preference:
please
choose I am only
interested in regular tuition I
would also consider online-tutoring, using a webcam and headset at the computer.
11.4
As there are many misconceptions on online learning - if you are not considering
it, plse tell us why:
11.5 If under
11.3 you were also considering online-tutoring, please specify the following:
please choose I
have a webcam & headset (loudspeaker & microphone) at my computer already
I
haven't got the above mentioned equipment yet, but would get it - no problem.
12.0
When would you like to start?
please choose as
soon as possible next week any
time 12.1
Tuition is payable in advance. What type of booking would you be interested in
?
please choose one-off
trial lesson only :1 hr one-off
trial lesson only: 1.5 hrs block of
4 hours block of 6 hours block
of 8 hours block of 16 hours
block of 20 hours 12.2
What is your preferred payment method ? please
choose bank transfer cash
payment at the bank PayPal
Please
continue with 15.0
13.1
Which language would you like translated?
13.2
Into which language would you like a translation?
13.3
What type of document is the text? please
choose book letter presentation word
document contract / legal document
13.4
Please specify the document, if 13.3 did not apply
14.1
By what date do you need the translation by?
14.2
How long is the text (how many words)?
14.3
What topic area is the text or document covering?
15.0
Any other important information you would like to give us?
15.1
Would you like to keep informed and updated by timefortalking.com?
Yes
No 15.2
Finally, please tell us where you heard about us:
please
choose Google.co.uk Askalix.com Lycos.com All4kidsuk.com Altavista.com Askjeeves.com Scoot.co.uk Yahoo.com other
search engine Twitter Gumtree
Ablewise Adzooks Vivastreet Yellow
Pages Yell.com Thomson
directory Thomweb.co.uk Newspaper Friend other
15.3
If you chose Yellow Pages, which classification? please
choose Language Courses
& Schools Tutoring
15.4 If
you chose other or other search engine, please specify:
15.5
If you chose any search engine, please state keyword/s you found our services
under:
We
would like to take this opportunity to thank you for taking the time to fill
in this enquiry form. We shall be contacting you by email shortly. Please
make sure to have included your complete postal address (which is needed
for your quote) as well as a correct email address, as we will be contacting
you via email. Thank you.