Actually, I don't want to bring that part to anyone's attention though it is obvious. The level of English proficiency depends upon which school one went to. I came from a school where I started my "A, B, C, D,......" at grade 4. I am not that good in English too. It also depends upon what you expect from a nurse working in Nepal. I would say not bad. That is not what we all are concentrating here. I wanted to how you guys would deal in such a situation? I am thrilledd to have a lot of comments and suggestions though.