First Name
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Last Name
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Phone Number
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Email
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Years in USA
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Number
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Length
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How do you consider your English skills?
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Beginner
Intermediate
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How did you learn of English with Friends
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Parish
Friends or Relatives
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Do you have access to the Internet during the week
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Yes, every day
Yes, occasionally if I go somewhere
No, I do not have access
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Country of Origin
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What do you want to learn with English with Friends?
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Do you have any suggestions or concerns to share?
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Preferred Day (for scheduling conversation session)
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
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Preferred Time (for scheduling
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Morning
Afternoon
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