NYPL Seward Park | ESOL Literacy 3-4 | Spring 2016

J. Choi

Student Survey
The purpose of this survey is to learn more about you as individual learners,
professionals, and people. Please take your time when completing this survey! Your answers will
help the teacher plan an enjoyable and interesting class for reaching your English language goals.
Part I Background Information
1

Name:

Nationality:

Language(s) that you speak at home:

E-mail (in case of emergency):

Profession:

Other languages that you feel comfortable using:

How long have you lived in the U.S. (or any other English-speaking country)?
E.g. I have lived in the U.S. for 28 years.

How many years have you been learning English? Where have you learned English
(school, friends, watching TV, etc.)?
E.g. I have been learning English for 18 years. I have learned English mostly from books and school.

Where did you go to school? For how long? What subjects have you studied?
E.g. I went to school in the U.S. for 18 years. Then, I went to college in NYC for 4 years and studied
Linguistics. Currently, I am in graduate school studying teaching.

10 What work experience do you have? What are your career goals or future plans?
E.g. I have worked as a clerk in offices, but I have also worked in classrooms as a teacher. I want to
teach English as a career and become an experienced teacher.

11 What are your hobbies?

E.g. I like to watch movies and read books. I also like to listen to music, bake, and knit.

Adapted from: Janie Turner & Joshua Hurd, Teachers College CEP 2015

NYPL Seward Park | ESOL Literacy 3-4 | Spring 2016

J. Choi

Part II English Language Skills

1
2
3

I think the hardest part about writing in English is _______________________________

________________________________________________________________________
I think the hardest part about reading in English is _______________________________
________________________________________________________________________
I can help my classmates learn English by _____________________________________
________________________________________________________________________
Write a checkmark () in the box that best describes how often you do each activity.

1 = never

2 = rarely

3 = sometimes

4 = often
1

5 = always
2

I listen to music with English lyrics, radio shows, or podcasts.

I watch shows, movies, YouTube videos, or TedTalks in English.
I have conversations in English.
I read English books, newspapers, magazines, or websites.
I write personal messages in English, like e-mails or on social
media.
I write in English for academic or professional reasons.
5

Write a checkmark () in the box that best describes how comfortable you feel about
doing these things in English.
Not at all

Not really

Neutral

Very
Comfortable

comfortable

comfortable

(OK)

Listening
Speaking
Reading
Writing
Grammar
Vocabulary

Part III Learning Preferences

1. Write a checkmark () in the box that best describes your opinion.

Adapted from: Janie Turner & Joshua Hurd, Teachers College CEP 2015

comfortable

NYPL Seward Park | ESOL Literacy 3-4 | Spring 2016

1 = strongly

2 = disagree

3 = not sure

J. Choi

4 = agree

5 = strongly

agree
4

disagree
2

I am a good writer in my native language.

I am a good writer in English.
I understand what I read in English most of the time.
I like to volunteer my answers and speak in front of the class.
I learn better working in groups.
Class discussions are helpful.
I like it when we play games in class.
I enjoy participating in presentations.
I want to read in English every day.
I want to write in English every day.
2. Write a checkmark () in the box that best fits your answer.
Yes

Sometimes

No

The teachers voice is loud enough.

The teacher speaks clearly and she is easy to understand.
I have regular access to the internet.
I have a smartphone.
I have regular access to a computer.
I want to meet classmates outside of class.
If the class decided to do an activity on a weekend, I will
be able to join.
3. What do you want the teacher to know about you? What are your concerns or comments?

Thank you! Lets have a wonderful spring cycle!

Adapted from: Janie Turner & Joshua Hurd, Teachers College CEP 2015