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* 1. Please leave your name and either email address or phone number so that we can contact you with more information about the class.

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* 2. Which days would you be available to attend a weekly class?

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* 3. What times would you be able to attend a weekly class?

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* 4. Have you ever studied Italian before?

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* 5. Have you ever lived or traveled in an Italian-speaking country?

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* 6. When was the last time (if ever!) that you spoke Italian?

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* 7. What are your goals for this course? What do you want to be able to do with your Italian language skills?

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