Skip to content
Check Screen Reader Mode to make this survey compatible with screen readers.
Check Screen Reader Mode to make this survey compatible with screen readers.
Private Japanese Class Application Form
*
1.
Your Name:
(Required.)
*
2.
Your Email:
(Required.)
3.
What city and state do you live in?
*
4.
Your cell phone number:
(Required.)
5.
Are you a current JASO member (you'll need to join if no):
Yes
No
6.
Your approximate current language level:
Beginner (knows virtually nothing)
False Beginner (knows and can say some single words and short expressions, knows some simple Japanese letters)
Improver (recognizes Japanese hiragana, katakana; can say a variety of simpler sentences)
Intermediate (recognizes a number of kanji; working to express more complex sentences, hold meaningful conversations)
Advanced (N1 or N2 with some fluency in speaking and reading)
Not sure, but I studied a long time ago
You tell me
7.
Main study purpose:
General
Business
Vacation/Travel
JLPT
Kanji
Other (please specify)
8.
You'd prefer to study:
Once a week
Twice a week
9.
Your best day(s) of the week to study are:
Monday
Tuesday
Wednesday
Thursday
Friday
10.
Your best time(s) for study:
Weekday Daytime (9am-4:30pm)
Weekday Lunchtime
Weekday Early Evening (4:30-7pm)
Weekday Later Evening (from 7pm)
11.
You'd like to invest in
8 classes - $550 single private, $800 pair private
12 classes - $750 single private, $1,100 pair private
Longer/tailored plan - examples: school year, 6 months, 1-month intensive, and so on (explain in next question)
12.
Do you have any other comments:
Current Progress,
0 of 12 answered