A1 Aufgabe 1 — Doctor's appointment form
A1 · Aufgabe 1 · Form · 10 min · 5 fields
Practise Goethe A1 Schreiben Teil 1: fill in a patient registration form at the family doctor for your neighbour Petra.
Ihre Nachbarin Petra Schmitt hat einen Arzttermin. Frau Petra Schmitt ist am 18.02.1978 geboren. Ihre Adresse ist Rosenweg 3, Kassel. Ihre Telefonnummer ist 0561 22 33 44. Sie hat morgen einen Termin in der Hausarztpraxis Dr. Berger.
Lesen Sie den Text und füllen Sie das Formular aus.
The form
- Praxis: Hausarztpraxis Dr. Berger
- Versicherung: gesetzlich
- Vorname: (fill in)
- Nachname: (fill in)
- Geburtsdatum: (fill in)
- Adresse: (fill in)
- Telefonnummer: (fill in)
This is one good possible response. Your answer can be different and still be correct.
Vorname: Petra Nachname: Schmitt Geburtsdatum: 18.02.1978 Adresse: Rosenweg 3, Kassel Telefonnummer: 0561 22 33 44
Why this works
- Name, birth date, address and phone number are each taken word for word from the text about Frau Petra Schmitt.
- The birth date keeps the German DD.MM.YYYY format (18.02.1978).
- The address is written in the German order street, house number, town: 'Rosenweg 3, Kassel'.
- The practice name and insurance type are already given, so the answer fills only the five empty fields, with no full sentences.
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