questionnaire-new - About Your Accent

Please Fill Out the Questionnaire Below

If you’re here, something about the way you speak has probably been getting in your way — at work, in conversations, or just in how confident you feel when you open your mouth. You’re ready to change that. Good.

Here’s how we get started:
Fill out the short questionnaire below. Be straight with your answers — only I will see them.

As soon as you submit the form, I’ll invite you to take a simple next step to help you get moving right away. No pressure, no commitment. Just a smart place to begin so you’re not sitting around wondering what comes next. You’ll see what is as soon as you submit the form below.

I’ll review what you send and reach out by email. If it makes sense for both of us, we’ll schedule a call and talk through what’s possible. Congratulations on taking the first step!

Individual Coaching Questionnaire

Name

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Email Address

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Location

City and state if in the U.S., city and country if outside the U.S.

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Professional Field

Describe the type of work or industry you are currently engaged in.

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Native Language/Dialect

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Country of Origin

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How Did You Find This Site?

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Have you worked on your speech and accent before? If you have, what did you do and how did it work?

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Why Do You Want to Work on Your Speech and Pronunciation?

Choose all that apply.

Professional and Job Related Reasons

Social Reasons

Other

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On a scale of 1 (poor) to 5 (good), how would you rate your pronunciation of American English?

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On a scale of 1 (low) to 5 (high), how committed are you to transforming your speech and pronunciation skills?

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