CLC Questionnaire

This questionnaire will assist the CLC teacher plan an individualized learning program for new students enrolling at the Community Learning Center. The student will answer the questions and the teacher will discuss with/him/her how to proceed with his/her study at the Center

Name


  1. What is your ESL level?
    Literacy
    Beginning 1
    Beginning 2
    Beginning 3
    Intermediate 1
    Intermediate 2
    Intermediate 3
    Other


  1. Why do you want to come to the CLC?
    I want to learn "more" English by:
    reading more
    listening more
    speaking more (pronunciation)
    doing more conversation
    I want to study Citizenship lessons
    I need help in my homework


  1. How many times can you come to CLC a week?
    one
    two
    three +


  1. How many hours can you stay at CLC a week?
    one
    two
    three
    more than 5 hours