Student Form – Esther's Eloquence Emporium

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Basic Information 📋

Let's start with the essentials so I know who I'm speaking with.

Full Name *

Please enter your name.

Age

City & State

WhatsApp Number *

This is the primary way I'll get in touch with you.

Please enter your WhatsApp number.

Email Address (optional)

Occupation / Student Status

How did you find me? (select all that apply)

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Your English Background 🗣️

Help me understand where you're starting from. There is no wrong answer here.

Current English level

🌱 Beginner: I know very little or almost nothing yet 🌿 Elementary: I know basic words and simple phrases 🌳 Intermediate: I can hold basic conversations but struggle sometimes 🌲 Upper Intermediate: fairly comfortable and ready to improve 🏔️ Advanced: fluent but want to refine and polish 🤷 Not sure: I'd like you to help assess me

CEFR Level (optional, if you know it)

IELTS/study-abroad students often know this. If you don't, skip it.

Skills you struggle with most (select all that apply)

Have you studied English before?

Yes, formally through school, coaching, or tutoring Yes, casually through apps, YouTube, or self-study No, this would be my first time

Language(s) spoken at home

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Your Learning Goals 🎯

The clearer your goals, the more targeted our sessions will be.

Why do you want to improve your English? (select all that apply)

💼 Job opportunities 🎓 Study abroad ✈️ Travel 💪 Personal confidence 📝 IELTS / Exams 💬 Daily communication 🎤 Public speaking 📱 Content creation

If we could improve only ONE thing first, what should it be?

This helps me focus our first sessions where it matters most to you.

Biggest challenge when speaking English

What would you like to achieve in the next 3–6 months?

Do you prefer:

📘 Structured lessons with clear topics, grammar, and exercises 💬 Casual conversation practice with relaxed, natural dialogue ⚖️ Mixed, with a bit of both

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Learning Style & Personality 🧠

Everyone learns differently. This helps me plan sessions that work well for you.

How do you learn best? (select all that apply)

👁️ Visual examples 🗣️ Conversation practice 🔁 Repetition & drilling 🎮 Games & activities 📝 Homework & tasks 🌍 Real-life examples

Are you comfortable making mistakes while learning?

✅ Yes, I know mistakes are part of the process 😬 A little nervous, but I'm working on it 😔 Not really. It's something I'd like to work through

Do you prefer a teacher who is:

🌸 Patient & encouraging, at my pace 🎯 Firm & corrective, with direct feedback and a push ⚖️ Balanced, with a healthy mix of both

Willing to do short practice tasks between sessions?

Yes, I understand practice outside class matters Sometimes, depending on the workload I prefer only in-session learning

5

Scheduling & Availability 📅

Consistency is key. Let's find a time that works for you every week.

Preferred Timing (IST)

Preferred Class Duration

⏱️ 30 minutes, short & focused ⏱️ 45 minutes, a good middle ground ⏱️ 60 minutes, a full session for deeper work

Sessions per week

Preferred session platform

💻 Zoom 📹 Google Meet 📞 WhatsApp Video / Audio Call No preference. Whatever works best

Internet connection & device quality

Available for a short trial session first?

✅ Yes, I'd love to try before committing No, I'm ready to start directly Maybe. Let's discuss

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Investment & Commitment 💳

Understanding your budget helps me suggest a package that's comfortable for you. All responses are private.

💬 There's no pressure at all. Every package is discussed personally, and I just want to know what's comfortable so we can find the right fit.

Monthly budget for coaching

Are you looking for:

⚡ Short-term, with a focused push for a specific goal 🌱 Long-term coaching for an ongoing learning journey 🔍 Trial sessions first, so we can see if we're a good fit 🤔 Not sure yet. Let's talk

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A Few Final Questions 💬

These help me understand your mindset so I can support you in the right way.

Anything you feel nervous or hesitant about in this learning journey?

This is a safe space. Nothing you share will be judged. 🤍

What kind of learning environment helps you stay focused?

Anything else you'd like me to know before we begin? (optional)

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Before You Submit ✅

Please read and confirm the following. Both are required to submit.

Please confirm this to continue.

✅ Received!