... listening, speaking and writing. 12. There are many English language proficiency tests; however, TOEFL is the test you must take if you are serious about studying at an English- speaking ... demonstrates consistent and accurate fluency, pronunciation and automaticity; minor difficulties in each area do not affect meaning and/ or coherence, or require listener effort to understand. ... computer. 8. To pass the medical exam, Samira made a study plan. For the next month, she would get up early and study all morning, take an hour for lunch, then nap for an hour. After that, she...