| Sex: M/ F |
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| Nationality: |
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| Mother tongue: |
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| Studied language: |
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| Other spoken languages: |
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| Age: |
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| 20 – 30 years |
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| 20 – 30 years |
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| 20 – 30 years |
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| 31 – 45 years |
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| 46 – 55 years |
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| Over 55 years |
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| Last school graduated |
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| Middle school |
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| High school |
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| Bachelors Degree/ Masters Degree |
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| PHD |
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| Current profession ............... |
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| Status |
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| Employed |
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| Owner |
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| Home maker |
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| Unemployed |
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| Student |
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| Retired |
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| Mark with X in the following template according to your agreement to each statement: |
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Agree |
Partially agree |
Disagree |
| I am very happy with the progress I have made through this module of studies |
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| The module of studies offered me exactly what I was expecting |
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| I am contempt with the teaching style and the relationship with the teacher |
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| The schedule and the location were convenient |
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| The workbook was to my liking |
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| What suggestions for improvement would you have? |
| Mark with X in the following template according to your agreement to each statement: |
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Agree |
Partially agree |
Disagree |
| I intend to follow up with at least another module of studies |
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| The competences I have gained are enough for my purposes |
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| I intend to continue learning by myself |
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| I intend to take classes in other languages |
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| How will you use the competences you have acquired? |
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Agree |
Partially agree |
Disagree |
| I will apply for jobs online |
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| I will be better integrated in the community |
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| I will use the language at work |
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| I will go study abroad |
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| I will make more progress in my career |
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| Others, which? |
| How have you gotten involved in learning the language? Mark your choice in the template below: |
| I have worked hard to learn the language |
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| I have allotted time for learning depending on the time available to me |
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| I had hoped to learn the language just by attending the class |
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| I have allotted time for studying according to my personal needs |
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| Others, which? |
| I will allocate so many hours a week for studying: |
| Up to an hour |
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| 1 – 3 hours |
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| 3 -5 hours |
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| Over 5 hours |
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