Multiple LEFT JOIN in Access

The Access DELETE requires a star (*): DELETE * FROM ...

In addition, the joins must be nested by using parentheses:

DELETE test1.*, test2.*, test3.*, test4.*
FROM
    (
      (
        test1 
        LEFT JOIN test2 ON test1.qid = test2.id
      )
      LEFT JOIN test3 ON test2.tid = test3.id
    )
    LEFT JOIN test4 ON test1.qid = test4.id
WHERE test1.id = {0}

This is specific to Access (Jet) SQL.

Here is a sample select statement on three tables with left joins:

SELECT 
FROM (Table1 LEFT JOIN Table2 ON Table1.field1 = Table2.field2) 
LEFT JOIN Table3 ON Table2.field2 = Table3.field3;

Your deleted statement:

DELETE test1.*, test2.*, test3.*, test4.* 
FROM
((test1 LEFT JOIN test2 ON test2.qid = test1.id)
LEFT JOIN test3 ON test3.tid = test2.id)
LEFT JOIN test4.qid = test1.id)
WHERE (((test1.id) = [SomeParameter]));