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First name

Last name

Email

Address

What is your first language?

Address

What other languages do you speak or study (if any)?

What is your profession?

How long have you been studying English?

1 year

1-3 years

3-7 years

7+ yrs

Have you ever felt that you “know English” but don’t sound like yourself when you speak?

Yes

No

I'm not sure

When listening to native English speakers, what is hardest for you?

Do you rely more on how words LOOK or SOUND when speaking English?

Mostly how they look

Mostly how they sound

I don’t know

Why is it important for you to speak English confidently right now?

Time Availability (I am located in Florida please check the time you will be available compared to New York Time

Morning (9 a.m. - 11 a.m.) New York EST

Afternoon (12 p.m.- 4 p.m.) New York EST

Evening (5 p.m. - 9 p.m.) New York EST

Thursday

Which days are you available?

Monday

Tuesday

Wednesday

Thursday

Are you open to learning English in a way that may feel a little uncomfortable at first but leads to faster, lasting confidence?

Yes, I think so

Not sure

Access to Jasmin is limited and intentional. Which option best describes you right now?

I’m ready to invest in direct access and coaching

I want structured content first, then access

I’m not ready yet but want to learn

The investment for this program is $599. Are you comfortable with this?

Yes

No