Pronounced Success Information Form
What is your name? *
Your answer
Is there another name you prefer to be called? If so, please let me know.
Your answer
What is your email address? *
Your answer
What is your phone number? *
Your answer
What is your native language? *
Your answer
How long have you spoken English? *
Your answer
What is your biggest frustrations when speaking English? *
Your answer
What do you hope to accomplish with accent training? *
Your answer
Making changes to your pronunciation requires consistent practice. Do you have time in your schedule to practice at least 30 minutes daily? *
What specific questions do you have about the program? *
Your answer
Anything else you would like me to know?
Your answer
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