IPPOIPPO JAPANESE CONTACT FORM
Please choose.
*
Mr.
Ms.
NAME
*
Email Address
*
Email Address
*
Again, please.
Your country
Message/ Question
*
Within 20 lines.
What’s your purpose to learn Japanese?
Daily use
Business use
Communication in your Japanese family
Examination
Interests in Japanese traditional culture
Interests in Japanese pop-culture
others
Which course are you interested in?
1 to 1(individual) 90 minutes
1 to 1, 2 hours
1 to 1, 1 hour
1 to 2, 90 minutes
1 to 2, 2 hours
1 to 2, 1 hour
Office 1 to 2, 90 minutes
Office 1 to 2, 2 hours
Office 1 to 2, 1 hour
Office 6 Max. 90 minutes
Office 6 Max. 2 hours
Others
What’s your level
Nil
Hiragana
Katakana
Some words
Beginner (equivalent of JLPT level 4)
Low intermediate (JLPT level 3)
Intermediate (JLPT level 2)
Advanced (JLPT level 1)
Interpreter or translater’s level
When would you like to start lessons?
When are you available for lessons?
Sometime on
Mondays 4:30-6:30pm
Mondays 6:30-8:30pm
Tuesdays 4:30-6:30pm
Tuesdays 6:30-8:30pm
Wednesdays 4:30-6:30pm
Wednesdays 6:30-8:30pm
Thursdays 4:30-6:30pm
Thursdays 6:30-8:30pm
Fridays 4:30-6:30pm
Fridays 6:30-8:30pm
Saturdays 10:00am-12:00pm
Saturdays 1:00pm-5:30pm
Others（pls. write your available time in the message box above.)
How often would you like to have lessons a week?
Once
2 times
3 times
4 times
5 times
Once or less
How long are you planning to have lessons?
More than 1 year (as long as possible)
1 year
6 months
3 months
2 months
1 month
Shorter than 1 month
Where would you like to have lessons?
Classroom in Tachikawa
Cafe in Tachikawa
I don’t offer any lessons outside Tachikawa at present.
What’s your closest station？
Your phone number
*
I do Not make a call except in urgency.
Does your computer have Japanese fonts on it?
Yes
No
I don’t know.
I may write you in Japanese!(^。^)
How did you know ”IPPOIPPO JAPANESE”?
Through the internet
Recommended by friend
Recommended by company or organization which you work for.
Recommended by school teacher
Others
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