GLOBAL MANDARIN ACADEMY
CONTACT US
For any inquiries, enrollment details, or further information about our programs, please feel free to reach out. Our dedicated team is here to provide personalized assistance and support to help you achieve your language learning objectives. You may contact us through the form below or by email at learnchinesedc@gmail.com. We look forward to connecting with you.
Student Assessment Questionnaire
Welcome! Please complete this short assessment form to help us match you with the best Mandarin language program based on your goals, level, and availability.
1. Personal Information
Full Name: __________________________________________
Email Address: ______________________________________
Phone Number: ______________________________________
Age Group:
☐ Adults
☐ Young adults (13-17)
☐ Children/Teens (8-13)
2. Learning Background
How long have you been learning Chinese?
☐ Never studied before
☐ Less than 6 months
☐ 6 months – 1 year
☐ 1–2 years☐ 2+ years
Which level best describes your current Chinese proficiency?
☐ Absolute Beginner
☐ Elementary ( ILR 0+ to 1)
☐ Intermediate (ILR 1+ to 2+)
☐ Advanced ( ILR 3 and above)
☐ Not sure
Have you taken any standardized Chinese language tests ?
☐ Yes → Please specify: _________________________
☐ No
3. Learning Preferences
What type of course are you interested in?
☐ Individual (1-on-1)
☐ Group class
☐ Either / Not sure yet
Which level or course are you planning to enroll in?
☐ Beginner
☐ Intermediate
☐ Advanced
☐ Post-Advanced:Content Courses
☐ Test Prep
☐ Conversation & Culture
☐ Reading & Writing
☐ Customized Program
☐ Not sure – please advise
4. Schedule Preferences
How many days per week would you like to study?
☐ 1
☐ 2
☐ 3–4
☐ 5
How many hours per session?
☐ regular session: 1.5 hours
☐ 2 hours
☐ 3 hour
☐ 4 hour
☐ 5 hour
☐ 6 hour
Preferred class time (your time zone):
☐ Morning
☐ Afternoon
☐ Evening
☐ Flexible
5. Learning Goals
Why are you learning Chinese? (check all that apply)
☐ Personal interest / culture
☐ Academic goals
☐ Travel
☐ Career advancement/ promotion
☐ Passing a test
☐ Family or heritage reasons
☐ Other: __________________________________
Do you have a specific proficiency goal?
☐ Yes → My goal is to reach:
☐ ACTFL Level ___ ☐ ILR Level ___ ☐ TOCFL ___ ☐ Other: ____________________ ☐ No specific goal
6. Additional Notes or RequestsOptional
– Let us know if there’s anything else we should consider (e.g., special learning needs, preferred teacher style, past challenges, etc.):Thank you! We will follow up with course recommendations and scheduling options tailored to your answers.
Please email us at learnchinesedc@gmail.com with your form.