Language Background Survey

This survey will help make certain that you have been placed in the appropriate level Mandarin-Chinese class and help the teachers understand what concerns or questions you may have about the course. Enter your name like this:


Last Name, First Name
Name: 


A red asterisk (*) indicates required questions.

  1. The last time I took a Mandarin-Chinese Course was . *


  1. The last time I took Mandarin-Chinese, my final grade for the course was . *


  1. I have studied Mandarin-Chinese for years. *


  1. I speak another language or Chinese dialect, besides English or Mandarin-Chinese, at home.*
    Yes
    No


  1. I have studied another language before.*
    Yes
    No


  1. I am also taking French or Spanish this year.*
    Yes
    No


  1. Someone in my home speaks Mandarin-Chinese.*
    Yes
    No


  1. I speak Mandarin-Chinese often at home.*
    Yes
    No


  1. "When I hear people speaking a language I don't understand I think..." They must be smart*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. "When I hear people speaking a language I don't understand I think..." They are probably talking about me*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. "When I hear people speaking a language I don't understand I think..." They shouldn't be in the US since nobody can understand them*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. "When I hear people speaking a language I don't understand I think..." They sound stupid*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. "When I hear people speaking a language I don't understand I think..." I wish I could speak in their language as well as mine*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. "When I hear people speaking a language I don't understand I think..." Everyone should speak English*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. "When I hear people speaking a language I don't understand I think..." Everyone should speak one language*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. "When I hear people speaking a language I don't understand I think..." I wish I could understand what they are saying *
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I will never be able to speak a Foreign Language well.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I do not want to take Mandarin-Chinese.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Studying Mandarin-Chinese will be extremely difficult.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Please write a breif paragraph or two about your experience with Foreign Language.*


  1. I have internet access at home.*
    Yes
    No


  1. List the types of electronic devices you have access to, be as specific as possible. For example if you have a SmartPhone also include which brand and model you have, or if you have a MP3 player like an ipod, which one do you have?*


  1. Are you left or right handed?*
    Left
    Right


  1. Please complete the following sentence. Some of the things that I have heard about this class that I am concerned about are...*


  1. Please complete the following sentence. In this class I hope that....*


  1. Please complete the following sentence. I would like my teacher to know that I will do better in this class if....*


  1. I don't like to answer questions even when I know I have the right answer.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I would rather take a zero than cheat.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Copying another students homework is one way to get help.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Even if I learn Mandarin-Chinese well, I will probably never use it.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I am taking (level) Mandarin-Chinese. *


  1. My Mandarin-Chinese class is period. *


  1. I entered my name at the beginning of the survey in the following format; LAST NAME, FIRST NAME*
    Yes
    No


  1. I expect to do well in this class.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I expect I will have to work hard in this class.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I previously had Chiang laoshi as a teacher.*
    Yes
    No


  1. A brother or sister of mine previously had Chiang laoshi as a teacher.*
    Yes
    No





laoshi
Chinese Language Teacher
Carlmont High School
Belmont, CA