Email
              
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              What topics do you desire to discuss in English during our time together?
              
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                Select all that apply.
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              What business and industry-specific topics do you hope to learn about + dive deeper into?
              
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              Where do you hope to be three months from now in your English skills, and how do you want to feel about your communication abilities?
              
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              What overall expectations do you have for this experience?
              
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              What struggles are you currently facing with your English that are holding you back?
              
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                Examples: Difficulty with pronunciation, lack of confidence, limited vocabulary, unclear speech, struggling to sound natural, fear of making mistakes, etc. Nothing is off-limits!  
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Where do you feel I can provide the most value for you as an English mentor?  
              
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              How committed are you to practicing between classes?  
              
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              Full Name
              
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                    First Name 
                   
                
                
                  
                    Last Name 
                   
                
               
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              Country of Residence
              
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              Native Language(s)
              
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              How long have you been learning English?  
              
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              How would you rate your current English proficiency?  
              
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                If you don't know, go with your gut feeling. However, remember: most people statistically underestimate their actual level and put themselves one-three levels lower than they actually are.
                
                  
                
                  
                
                  
                
                  
                
                  
                
                  
                
               
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              What areas of English do you struggle with the most?
              
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                 Select all that apply
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Are there specific English sounds, words, or phrases you find difficult to pronounce?
              
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              Are there any grammar structures you tend to avoid because they feel difficult or unnatural?  
              
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              How do you feel about your vocabulary?
              
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              Do you have any hobbies or personal interests that you'd like to talk about in class?
              
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              What real-life situations would you like to practice most?
              
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                 Select all that apply
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              What is your preferred learning style?
              
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                Select all that apply
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              What time zone are you in?
              
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              Is there anything else you'd like us to know to better support your learning journey?  
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Depending on the package you choose, the investment in the mentorship program with Laura Maliszewska ranges between €1,250 and €2,100. Flexible payment plans are available.
              
             
          
                
                
               
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              By submitting this form, you confirm your decision to join the mentorship program and commit to completing the payment as agreed.
              
             
          
                
                
               
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              The first payment must be made before the first session upon receiving the payment link. Failure to do so may result in forfeiting your spot in the program.
              
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              Which package do you select?
              
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              Which payment option do you select?
              
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