Basic Information:

First Name *

Last Name *

Phone *

Email *

Language Learning Background:

Have you studied Japanese before? *

Yes

If yes, how long have you been studying? *

What methods have you used to learn Japanese in the past? (Textbooks, apps, classes, etc.) *

Personal Goals:

Why do you want to learn Japanese? (Multiple choice: Travel, work, moving to Japan, interest in culture, etc.) *

What is your main goal with the language? *

On a scale of 1-10, how committed are you to achieving this goal? *

Potential Challenges:

What do you find most challenging about learning a new language? *

What has held you back from learning Japanese before? *

Expectations for the Program:

What do you hope to achieve in the first 6 weeks? *

Do you have any specific questions or concerns you'd like to address during your call? *