Language Lesson Intake Form Template
This language lesson intake form gets a new learner's language, level, goal and preferred lesson style in one go, so the first lesson is pitched right, whether they want Spanish for a trip or French for a school exam.
Plans from $4/month · 30-day money-back guarantee
Try the form
This is the real form, the way a parent or learner will see it. Fill it in and click through: nothing you type is sent or saved.
What's included
15 questions in 4 steps. Every one can be edited, removed or reordered.
1Student4 questions
- Student name requiredShort answer
- Date of birthDate
- Grade requiredKindergarten … College / Adult (14 options)Dropdown
- SchoolShort answer
2Parent or guardian3 questions
- Parent or guardian name requiredShort answer
- Email requiredEmail
- PhonePhone number
3Language5 questions
- Language to learn requiredShort answer
- Current level requiredBeginner, Elementary, Intermediate, Upper intermediate, AdvancedPick one
- Main goalTravel, School, Work, An exam, Just for funPick one
- Native languageShort answer
- Preferred lesson styleConversation, Grammar, Reading and writing, Exam practicePick any
4Availability3 questions
- Preferred days requiredMonday, Tuesday, Wednesday, Thursday, Friday, Saturday, SundayPick any
- Preferred time of day requiredMorning, Afternoon, EveningPick one
- Lesson formatIn person, OnlinePick one
Who it's for and when to use it
Use it for any language you teach: Spanish, French, German, Mandarin, Japanese or another. The first question is a short answer, so one form works whether you teach one language or several.
The goal question shapes everything. A learner going to Mexico in three months needs speaking and survival phrases; a high school student needs grammar for the next test; a professional needs to run a meeting. Lesson style lets the learner say what they enjoy, like conversation or grammar.
It keeps the student and parent steps from the general new student intake, which suits school-age learners. For adults learning English, the adult English learner intake is written for them.
How to use it in 3 steps
Pick the template
Click Use this template, or choose “Language lesson intake” under New form in Bear Forms. All the questions are already there.
Make it yours
Every question is ready to use as it is. Change, add or remove any of them to fit how you work.
Share the link
Publish, then send the link by email or text, put it in your Instagram bio or Google Business Profile, or paste two lines of code to show it on your website.
Tips for better responses
- Ask about the native language. It predicts which sounds and grammar will be hard. A Spanish speaker learning French has different challenges from an English speaker.
- Match the first lesson to the goal. Start a travel learner with a real conversation and a school learner with the current unit. It shows you read their answers.
- Don't trust the level too much. Self-reported levels vary. Use the first ten minutes of lesson one to check.
- Teaching adults? Make the parent step optional, or remove it, so adults don't have to skip questions meant for children.
Make it your own
- Online learners abroad? Add the time zone question from the online tutoring intake.
- Exam goal? For language exams, add the exam prep goals form after the intake.
- One language only? Delete the language question and put the language in the form's title.
Frequently asked questions
What should a language lesson intake form ask?
It should ask which language the learner wants, their current level, their main goal, their native language and how they like to learn, plus contact details and availability. This template asks all of that in 15 questions over four steps.
Which levels can learners choose?
Beginner, elementary, intermediate, upper intermediate and advanced. They're plain-English levels, so learners don't need to know any official scale to answer.
Can adults use this form?
Yes, but it includes a parent step for school-age learners. For adult classes, make the parent questions optional or delete that step, so adults can go straight to the language questions.
Can I use one form for several languages?
Yes. The language question is a short answer, so learners type the language they want. If you only teach one language, remove the question and name the language in the title.
How much does Bear Forms cost?
Bear Forms costs $4 a month on the Solo plan, or $32 a year. Solo covers up to 30 forms and 1,000 responses a month. Pro is $15 a month or $144 a year for unlimited forms and responses. There's no free plan, but every first payment comes with a 30-day money-back guarantee.
How hard is it to set up?
It's quick: pick the template, change the parts in brackets, and press Publish. Questions are edited by clicking on them and moved by dragging, so there's nothing technical to learn. Most tutors have a form ready to share in a few minutes.
Can I put this form on my website?
Yes. Copy two lines of embed code into your website and the form appears right on the page. It resizes to fit phones. If you don't have a website, share the form's link instead: by email, by text, in your Instagram bio or on your Google Business Profile.
Related templates
New student intake
Everything you need before the first lesson: student and parent details, goals and availability.
View template →Adult English learner intake
Get to know a new adult learner: background, level, goals and when they can meet.
View template →Online tutoring intake
New student intake for online lessons, with time zone, device and video platform.
View template →Exam prep goals
Plan exam coaching around the test date, target score and weakest sections.
View template →Start with the language lesson intake template
Pitch every first language lesson at the right level and the right goal.
Plans from $4/month · 30-day money-back guarantee