It is definitely possible to get by traveling as I have so far without speaking much Italian, but it would be frustrating and challenging. I have at every opportunity made attempts to practice speaking with people and for every success there have been many looks of confusion and a merciful switch to English with a smile (mostly the young people). I have used the Google Translation App to refresh my memory and assist with pronunciation. The app will also translate the text of signs if you direct your camera at it. Road signage isn’t as clear as we’re used to in the States, and there are some confusing intersections, merge lanes and lights that are in places we aren’t used to. I feel like most of the road signage is intuitive, and for those that are not I just hope it’s not something important.