New or Returning Student:
Questionnaire Form

Full Name *

Last Name *

Company or Organization Name

This is optional

Age *

Phone *

Please share your direct line to recieve texts or calls

Email *

Email is the main form of communicaition between students and teachers

Please share with us your preferred pronouns. *

Current City/Town of residence (please share city and state if you do not live in the Metro Atlanta area)*

Please share what specific area or neighborhood of Metro Atlanta you live in? (Neighborhood examples: Virgina Highlands, West End, Midtown, Candler Park, Adair Park, Old 4th Ward, etc...)

How would you describe your current overall proficiency in Spanish (listening, speaking, reading, and writing)? *

Novice Low–Mid (A0) – Little to no knowledge of Spanish

Novice High (A1) – Very limited ability with memorized phrases

Intermediate Low (A2) – Can understand and use basic phrases

Intermediate Mid–High (B1) – Can hold conversations and understand everyday topics

Advanced Low-Mid (B2) – Can communicate comfortably in most situations

Advanced High (C1) – Fluent and able to handle complex tasks

Superior (C2) – Near-native fluency

Please select the level that best represents your ability, based on ACTFL and DELE (CEFR) guidelines:

What is the main reason why you desire to learn Spanish? (Please be as specific as possible) *

We want to understand about your motivations and desire for wanting to learn the Spanish language

In your own words, what does fluency mean to you? *

Fluency Definitions by ACTFL & DELE

Which kind of resources are you using outside of the classroom to help you improve your Spanish? *

Which kind of situations are you hoping to feel confident in using your Spanish? *

When is your expected timeline to reach your goal? *

Do you prefer the duration of lessons to be 30 or 60 minutes long?

30 minute classes

60 minute classes

90 minutes classes

Please share your expectation for homework? *

On a scale of 1 to 5, how motivated are you in reaching your goals? *

Example: "1" is barely motivated, I just want to causally go to classes & "5" is "I am willling to do whatever takes to acheive my goals

How much time outside of the classroom do you plan to devote to practicing your Spanish? (this can be watching videos, using apps, practicing with friends, flashcards, or etc.) *

When is your desired start date for your first official class/lesson? *

Please check the type of 1-on-1 classes you are interested in *

Online

In-Person

If you are interested in In-Person Classes. Please mark the areas of town you would be interested in driving to for your In-Person Classes *

Vinning/Smyrna

Midtown/Old 4th Ward

Norcross/Doraville/Tucker

Buckhead

Lessons from my Home 🏡 (teacher would come to my home)

None | I only want Online 💻 Classes

How many lessons would you ideally like to have per week? *

This is just your ideal weekly schedule.

Which days and times (EST) would you prefer to have your classes? *

(The more days and times you share the better)

Do you have any specific questions regarding how our 1-on-1 Spanish classes work? *

Pleasse feel free to say N/A if you do not have nay further questions.

Please share how you heard about us *

Google Search

Instagram

Google Maps

Facebook

Friend or Family Member

TikTok

NextDoor

Other

By providing your phone number, you agree to receive text messages from Atlanta Spanish Immersion regarding your appointments and services. Message & data rates may apply. Reply STOP to opt out.

New or Returning Student:Questionnaire Form

New or Returning Student:
Questionnaire Form