Private Classes Intake Form
Hoi!

Thank you for taking the time to fill out this form. This will help me help you learning Dutch better. The more I know about you, the better I can see whether we are a match and how I can personalise your classes.

I will get back to you as soon as possible!

Groetjes Joyce (dutchwithjoyce@gmail.com)
Email *
Voornaam (First Name) *
Achternaam (Last Name) *
Telefoonnummer (Phone number including landcode) *
For who are the classes? (please add more info in comments down below if classes aren't for you) *
Welke talen spreek jij? (What languages do you speak?) *
Required
Wat is je huidige niveau? (What is your current level?) *
Als je al eerder Nederlands hebt geleerd, leg even uit wat je tot nu toe al hebt gedaan. (If you have learned Dutch before, please explain what you have done so far.)
Waarom wil je Nederlands leren? (Why do you want to learn Dutch?) *
Required
Welk niveau wil je behalen? (What level do you want to achieve?) *
Waar wil je je op focussen in de les? (Where do you want to focus on in your lessons?) *
Required
Wanneer ben je beschikbaar voor lessen? (When are you available for classes) *
Morning (9am-1pm)
Afternoon (1pm-5pm)
Evening (5pm onwards)
Not available
Monday
Tuesday
Wednesday
Thursday
Friday
Hoeveel lessen wil je per week? (How many lessons a week would you like?) *
Welk lespakket heeft je voorkeur? (Which package do you prefer) *
Wil je alleen les of met een partner? (Would you like to have classes by yourself or with a partner?) *
Do you have any additional questions or info? (add anything you want to learn about, your lesson partner(s) info if applicable, etc.)
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms