STUDENT QUESTIONNAIRE - ESL 827AM (Fall 2015)

Student Survey
Name: 


  1. What is your last name?


  1. What is your first name?


  1. What name do you want everyone to call you in class?


  1. Telephone number (please indicate whether it is your home or cell number)


  1. Other number (please indicate whether it is your home or cell number)


  1. E-mail address


  1. Where are you from? (Please indicate city and country)


  1. What language(s) do you speak at home?


  1. How long have you lived in the U.S.?


  1. Have you ever been in a country (other than the U.S.) where English is the main language?
    Yes
    No


  1. If you answered "Yes" to Question #10 above, please indicate where.


  1. Is this your first semester at Foothill College?
    Yes
    No


  1. If you answered "No" to Question #12 above, how many semesters have you studied at College of San Mateo?


  1. Have you attended any other college(s) or English language programs?
    Yes
    No


  1. If you answered "Yes" to Question #14, please indicate where and the type of program.


  1. What are your educational goals? Please check all that apply.
    AA/AS degree (from College of San Mateo)
    Vocational Certificate
    Transfer to 4-year university
    Personal growth


  1. If you are planning to get a degree or certificate at College of San Mateo or to continue at a 4-year university, what is your intended major?


  1. Are you an international student/are you on an F-1 visa?
    Yes
    No


  1. What other classes are you taking?


  1. What do you like to do in your free time?


  1. What do you want to learn in this class?


  1. Is there anything that you would like to add? If yes, please write here.





Vicki
Foothill Community College
San Mateo, CA