Intake form

Name *

Email address *

What type of lessons are you interested in?

Please select at least one option.

English lessons

Educational activities

Personal development workshops

What is your preferred learning format?

What is your current level of english proficiency?

How did you hear about on education?

What is your preferred time for lessons?

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Morning

Afternoon

Evening

What days of the week are you available?

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Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Do you have any specific goals for your learning experience?

Which service or services are you interested in?

Please select at least one option.

English lessons

Educational activities

Personal development workshops

Language immersion programs

Creative arts workshops

Cultural exchange programs

Service title 7

Service title 8

Initial consultation for $150

Follow-up consultation for $100

Additional questions or comments

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On Education