I dont think its really such an issue not speaking the language, the english have a great reputation of speaking english louder and slower, like talking to an idiot in an attempt to make themselves understood.

However its things like sitting in an italian cafe ordering a salad, and saying something like, "make it with crisp fresh lettuce only, with no more then 2 salad onions and 3 tomatoes; and a fat free carb free low sodium ranch dressing on the side" Then refusing to understand that the don't have any of aforementioned dressing "but even Applebees has it honey!!!" -Not everything is like it is back home!!