Personal Information
Please complete this questionnaire to help us focus on areas that you need for this blended learning course.
Sign in to Google to save your progress. Learn more
Personal Information
First Name *
Surname *
E-mail Address *
Telephone Number: *
Professional Information
What do you do?   *
If you are unemployed, say "unemployed" and say what type of job you are looking for.  If you have a job, what is your job title?  If you are a student, what are you studying?
English Studies
When was the last time you studied English? *
Where did you last study English?
Clear selection
What other languages do you speak? *
Choose all that apply.
Required
Why are you learning English? *
Choose all that apply.
Required
Do you expect to use English at work or in your future career? *
Do you enjoy learning English? *
How much time each week do you have to spend studying English at home? *
In general, what do you find easiest to learn in English? *
Very difficult
Quite Difficult
OK
Easy
Very easy
Grammar
Vocabulary
Listening
Reading
Writing
Speaking (grammar and vocabulary)
Pronunciation
What do you especially want to improve? *
Not very important
Important
Very important
Grammar
Vocabulary
Listening
Reading
Writing
Speaking (grammar and vocabulary)
Pronunciation
Is there anything you want to focus on in class or online? *
Online Learning
Have you ever studied online? *
Why have you chosen the ELI Online + Presencial course? *
Choose all that apply.
Required
With technology, I am: *
When using technology, I feel *
Submit
Clear form
Never submit passwords through Google Forms.
GoogleForms
This content is neither created nor endorsed by Google.