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English Lessons Questionnaire
Ingilizce Dersi Almak Icin Bilgi Formu: Bu formu dolduran kisiler ile Amerika dan bir gonullu eslestirilecek ve haftada iki saat ingilizce dersi yada ingilizce pratik yapma imkani saglanacaktir.
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* Indicates required question
Adi Soyadi/Full Name
*
Your answer
Email
*
Your answer
Telefon Numaraniz? Phone
*
Your answer
Evlilik Durumu/Marital Status
Evli/Married
Bekar/Single
Cinsiyet / Gender
Erkek/Male
Bayan/Female
Yas/Age
Your answer
Kac aile bireyi sizinle birlikte yasiyor?/How many family members are currently living with you?
Your answer
Cocugunuz var mi? yaslari nedir?/Do you have any children? If yes, how many and what ages?
Your answer
Mesleginiz nedir?/What was/is your occupation?
Your answer
Egitim seviyeniz? What is your level of education?
Orta Okul Ogrencisi/Middle School
Lise Ogrencisi/High School
Universite Ogrencisi/College
Universite Mezunu/Bachelors Degree
Mastir-Doktora/Post Grad
Clear selection
Haftada bir Amerikali bir ogretmenden ders almak Istermisiniz?/ Would you be interested in communicating with an American teacher once a week to learn English?
*
Evet/Yes
Hayir/No
Belki/Maybe
Ingilizce seviyeniz nedir? Mark which of the following boxes applies to your level of English.
Hic Bilmiyor/Novice
Cok Az Biliyor/Beginner
Orta Seviyede/Intermediate
Cok Iyi Seviyede/Advanced
Clear selection
Internete hangi cihaz ile baglaniyorsunuz?/ Mark which of the following boxes coordinates with the device(s) you have access to:
Cep Telefonu/Smartphone
Tablet/IPAD
Bilgisayar/Laptop
Hicbiri/ None of the above
Ders icin hangi gun ve saatte sizin icin daha uygundur? Please list your availability: (Day and Time - Greek Standard Time)
*
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:
Sunday:
Required
Lutfen ders zamanini seciniz? Please select the time: (Greek Standard Time)
*
1pm to 2pm
2pm to 3pm
3pm to 4pm
4pm to 5pm
5pm to 6pm
6pm to 7pm
7pm to 8pm
8pm to 9pm
9pm to 10pm
10pm to 11pm
11pm to 12am
12am to 1am
Required
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