If you’re coming to Italy, bring all the patience you have and try to learn some basic Italian. The fact is the English is not so common and especially in smaller cities, it could be hard to communicate. But we are famous for our hand speaking! It could be strange at the beginning but if you follow an Italian speaking and look at the gestures you could understand more than if you only follow the voice. That’s a nice video by the New York Times. Just try some for yourself, you’ll be surprised by their effectiveness!