Thank you for taking the time to fill out this questionnaire. It will help us plan your visit. Now tell me a little something about yourself….Please enable JavaScript in your browser to complete this form.Your Name *FirstLastYour Cell Phone Number (include country code) *Your Email *Your Street Address *I am____________.marrieddivorcedseparatedwidowedsinglein a long term relationshipnot looking for a relationshipI have _______ children.Tell Me Why You Want English Language Lessons: (Chooses as many as you wish) *for myselffor funfor travelfor my educationin order to pass the TOEIC testin order to pass the TOEFL testin order to pass the Cambridge testfor my job or to get a better jobfor personal reasons too complex to explain herenone of the aboveI don't want English lessons, I want to have fun!If You Had 2 Free Hours, Just For Yourself, What Would You Like To Do? (Choose as many as you wish) *nothinglearn new ways of cooking/bakingread/write/drawexplore on my owngo to the beachexerciselearn better eating habitsgo shoppinggo sightseeingstudygo to spas/treatments/beauty enhancementsmeet new people/practice speaking Englishsomething completely new/otherI like________.eating/food/new food experiencessports/exercise/new activitiesquiet time to myself/exploring new places on my ownshopping/finding bargains/buying giftsart/theater/musical concerts/dance performancesday tripsmeeting other women who have families/childrenotherIf you checked 'other' above, tell me more here:Tell me what you DON'T like:I have the following allergies: *I'm afraid of/not afraid of:3 words that describe me: *Who can I contact in case of emergency during your visit? (Name; email; phone/text number) *I understand/speak English________. *very wellwellso-soa littlenot very wellI use English________. *neverhardly eversometimesoftenall the timeAnything else you would like me to know prior to your visit?PhoneSubmit