Title:
please choose
Mrs
Miss
Ms
Mr
First
Name* :
Surname* :
Address* :
House
No.* :
Town* :
Postcode* :
County:
Phone*
(home):
Phone*
(work):
Email* (home):
Email*
(work) :
Mobile:
Fax:
1.0
Are you enquiring about tuition, translation or
cultural awareness courses?
please choose
Tuition
Translation
Cultural
Awareness Course
For
tuition please continue with 2.0,
For
translations please go to 13.1
For
cultural awareness courses please follow questions
for tuition.
2.0
What language are you interested in ?
please choose
Danish
Dutch
English (EFL)
Finnish
French
German
Greek
Hebrew
Hindi
Italian
Japanese
Polish
Brazilian Portuguese
Russian
Swedish
Spanish
Urdu
Other
2.1
If 'other' applied in 2.0 please state language now:
2.2
Is it for corporate or private language training?
please choose
Private
Corporate
2.3
If corporate, or tuition to be held at company address,
please state address with postal code:
3.0
What is your native language?
4.0
Please state any other language/s you might speak
already:
5.0
How would you describe your knowledge of the language,
you would like to learn?
please choose
no
knowledge at all
only
very basics known
short
conversation can be held
anything
above, also business level
6.0
Reason to learn the language?
please choose
Company purposes
Private purposes
Holidays
GCSE Exam
A-level Exam
Other School Exam
6.1 Please give us some more details, on why you are
interested in the language or why you need to learn
it.
6.2
For how many people is the tuition enquiry?
please choose
1
2
3
4
5
6
7
8
9
10
6.3
Is the tuition for adults or children? Please specify,
with ages for children:
6.4a
If tuition is for a school exam, please state a) which
school you are attending at the moment & b) what
other languages you take at school:
a)
b)
6.4b
If tuition is for a school exam, please state a) which
examination board the exam is with & b) which
text book you are using in school:
a)
b)
6.5
If more than one student, what are the others' level
of knowledge?
7.0
Is there any time pressure, to learn the language
by a certain date?
please choose
No
Yes
7.1
If yes, please state the date:
8.0
Where would you prefer to be taught?
please choose
At my company
address
At own premises
At tutor's address
8.1
If tuition to be held at a different address than
home, please state address & for London customers
the
nearest
tube station of this address.
8.2
For London customers, what is your nearest tube station?
9.0
If necessary, how far would you be willing to travel?
10.0
What day would you like the tuition to take place?
please choose
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
10.1
What day couldn't you be taught on at all?
10.2
At what time would you like the tuition to take place?
please choose
Early morning
morning
lunch time
afternoon
late
afternoon/early evening
11.1
How often and how long would you like the tuition
to take place?
11.2
Please state your preference:
please choose
My
teacher should be a native teacher only.
I'm
fine with a non-native teacher as well.
11.3
We also offer online tutoring, using headsets &
webcams, i.e. this is absolute interactive online
tuition (webcam-to-webcam = face-to-face, with full
audio & vision).
Please state your preference:
please choose
I
am only interested in regular tuition
I
would also consider online-tutoring, using a webcam
and headset at the computer.
11.4
As there are many misconceptions on online learning
- if you are not considering it, plse tell us why:
11.5
If under 11.3 you were also considering online-tutoring,
please specify the following:
please choose
I
have a webcam & headset (loudspeaker & microphone)
at my computer already
I
haven't got the above mentioned equipment yet, but
would get it - no problem.
12.0
When would you like to start?
please choose
as soon as possible
next week
any time
12.1
Tuition is payable in advance. What type of booking
would you be interested in ?
please choose
one-off
trial lesson only :1 hr
one-off
trial lesson only: 1.5 hrs
block of 4 hours
block of 6 hours
block of 8 hours
block of 16 hours
block of 20 hours
12.2
What is your preferred payment method ?
please choose
bank transfer
cash payment
at the bank
PayPal
Please
continue with 15.0
13.1
Which language would you like translated?
13.2
Into which language would you like a translation?
13.3
What type of document is the text?
please choose
book
letter
presentation
word document
contract
/ legal document
13.4
Please specify the document, if 13.3 did not apply
14.1
By what date do you need the translation by?
14.2
How long is the text (how many words)?
14.3
What topic area is the text or document covering?
15.0
Any other important information you would like to
give us?
15.
b Please confirm your acceptance of our cancellation
terms:
please confirm
I
confirm the acceptance of the cancellation terms.
15.1
Would you like to keep informed and updated by timefortalking.com?
please choose
Yes
No
15.2
Finally, please tell us where you heard about us:
please choose
Google.co.uk
Askalix.com
Lycos.com
Altavista.com
Askjeeves.com
Scoot.co.uk
Yahoo.co.uk
other search
engine
Facebook
GooglePlus
Linkedin
Twitter
Ablewise
Adzooks
Backpage
LinkedIn
Locanto
Vivastreet
Yellow Pages
Yell.com
Thomson directory
Thomweb.co.uk
Friend
other
15.4
If you chose other or other search
engine, please specify:
15.5
If you chose any search engine, please state keyword/s
you found our services under:
We
would like to take this opportunity to thank you
for taking the time
to fill in this enquiry form. We shall be contacting
you by email shortly.
Please make sure to
have included your complete postal address
(which is needed for your quote) as well as a correct
email address,
as we will be contacting you via email. Thank you.