EJO Elizabeth Johnson Organisation

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Contact Information:

Title: Mr. Mrs. Ms. Dr.

Firstname:

Lastname:

Email Address:

Confirm Email:

Current English Knowledge:

1 = Not important, 2 = Important, 3 = Very important

My level of English is: Beginner  Elementary  Intermediate  Advanced

Did you study English at school? Yes No

If so for how many years?

Have you studied English since leaving school? Yes No

If so, where did you study and for how long? for

Skills Development:

1 = Not important, 2 = Important, 3 = Very important

Which skills do you wish to concentrate on during your course?

Speaking: 1  2  3

Listening: 1  2  3

Reading: 1  2  3

Writing: 1  2  3

Practical Applications - Speaking / Listening:

1 = Not important, 2 = Important, 3 = Very important

Which of the following do you wish to practise?

Meetings: 1  2  3

Negotiations: 1  2  3

Giving Presentations or speeches: 1  2  3

Giving Instructions
or Training: 1  2  3

Social Conversation
(business lunches, for example) 1  2  3

Attending Lectures
or Conferences: 1  2  3

Examinations: 1  2  3

Travel: 1  2  3

Other:
(please specify)

Practical Applications- Reading / Writing:

1 = Not important, 2 = Important, 3 = Very important

Which of the following do you wish to practise?

Correspondence:
(letters, faxes, e-mail) 1  2  3

Company Literature: 1  2  3

Note-taking / minutes at meetings: 1  2  3

Reports: 1  2  3

Technical Journals / manuals /
instruction books: 1  2  3

Business vocabulary: 1  2  3

Grammatical structures: 1  2  3

Other:
(please specify)