Student information form
Email address *
Please fill out the following information.
I will ask you for some contact information, and then some general information about your attitudes toward English. I will ask you for two email addresses, so that I can send feedback on major assignments. If you don't have a second email address, please re-enter the first one below for 'Email (2).' I will ask for phone numbers (which will be kept private), in case of emergency or some urgent need to contact you. For your name, you can write it in 한글. If you are Chinese, you can write in Chinese characters followed by pinyin, or just pinyin. For other languages, you can type your name in Russian / Cyrillic script, Greek, Japanese, etc.
You will receive 10 points for filling out and submitting this form on time. This will be assigned on 02/03 Sept. and will be due by 09 Sept.
Name *
Student ID: Please enter your student ID number (e.g., 201600000). *
Gender (Please indicate your gender.)
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Email (2) *
Course: Which course are you taking? *
Language abilities & attitudes
Please fill out the following questions. There are not right or wrong answers - I want to know how you honestly feel.
Your English abilities: On a scale of 1-7, how well would you rate your English abilities (1=low, 7=excellent)?
Listening
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Speaking
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Reading
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Writing
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Overall English abilities
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Your attitudes and feelings
Please indicate your honest feelings about English. (1=strongly disagree, 4=neutral, 7=strongly agree)
I study English because I have to.
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I study English because I like to or want to.
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I study English because I am interested in it.
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I feel like my English is getting better.
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Open-ended questions
Do you know or speak other languages besides English and Korean? How well? Have you lived or studied in other countries? If so, where, and how long?
Topics: What are some topics or issues that you would like to discuss in the course?
Why did you chose to study English (or take this class)? How do you think you will use English in the future?
Do you have any comments or questions about the course, or questions for me?
Thank you for filling out this form. Be sure to click the Send / 보내기 button below to submit this form.
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