Part I.

Personal Information
Name: (optional)
Please mark ( ) in the brackets or fill in the information.
1. Gender
Male
Female

2. Age
16-17 yrs. old
18-19 yrs. old

20-21 yrs. old

22-23 yrs. old

24 above

3. Year Level
2nd Year

3rd Year

4th Year

4. School Attended
Public High School Private High
School
Part II. Contentment of Using English Language
For this part we need the background of English knowledge, it will
be an advantage.
1. Do you like English Language? (Please explain)
Yes, I do _______________________________________________________
_________________________________________________________________.
No, I dont ______________________________________________________
_________________________________________________________________.
2. Are you satisfied with your English ability?
Yes, I do
No, I dont
3. Have you ever contacted with the international students?
Yes, I have
No, I havent
4. Do you like to contact with the international students?
Yes, I do
No, I dont
5. Would you like to develop your English skill?
Yes, (How?)_____________________________________________________
_________________________________________________________________.
No, (Why?)______________________________________________________
_________________________________________________________________.
 Part III. The Students Ability in English
Please rate your ability in English: by tick / the appropriate box.
Item Excellent Good Fair Poor
Reading
Writing
Listening
Speaking

Part IV. Behavior of using English Language

Please tick / the box which represents your opinion.
Always Often Sometim Seldo Never
(5) (4) es m (1)
(3) (2)
1. How often do you use
English language in
communication?

2. How often do you

spend time studying
English language?

3.

Why do you want to learn Strongl Moderate Strongl

English Language? y Agree ly Agree Disagre y
Because. Agree (4) (3) e Disagre
(5) (2) e
(1)
1. I want to get good marks in
English tests and improve
my evaluation in the
school report.
2. I want to be able to read
English books and
magazines with ease.
3. I want to make friends with
people living in foreign
countries by exchanging
letters and e-mails.
4. I want to get a nice job
with good salaries and
good working conditions
5. I want to learn about the
lifestyles and customs in
foreign countries such as
England and America
6. I want to be able to
communicate freely in
English with people from
different countries.
7. I want to work either for an
international organization
(e.g. the EU) or for a global
company (e.g., Nokia).
8. I want to know how the
English language reflects
the way of thinking of
English-speaking people.
9. I want to be able to
understand English movies
and TV programmes
without looking at
subtitles.
10. I want to share my
understanding in English
language by teaching.

We want to know how you Strongl Moderate Strongl

feel about learning English y Agree ly Agree Disagre y
language. Agree (4) (3) e Disagre
 (5) (2) e
(1)
1. I enjoy my English lessons.

2. I enjoy communicating with

my classmates using
English language.
3. I want to adapt the accent
of English or Americans.
4. I think pronunciation
symbols are useful for
correct word
pronounciation.
5. I think I understand the
English language in my
English textbooks well
enough.
6. I wish English language be
taught by a British or
American teacher
7. I think learning English
language is important for
my future.

How do you improve your English skills?

Reading books
Speaking English frequently
Watching English Movies
Listening to English music
Others..