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Dear respondent
2. Age : 18 20 21 23
24 26 27 and above
3. Please state your English results for the following examinations. If not applicable, please write
NA in the space provided:
5. How many courses are you taking this semester? Please state: _________
6. Based on the number of courses above, how many of them are taught in English by the lecturers?
(Excluding BEL paper).
All
None
This instrument is composed of fifteen statements concerning feelings about communicating with
other people in English. Please indicate the degree to which each statement applies to you by
circling whether you:
1- Strongly agree
2- Agree
3- Undecided
4- Disagree
5- Strongly disagree
Statements Scale
(Remember, the medium of communication for the following
statements is English)
20. Certain parts of my body feel very tense and rigid while I am giving 1 2 3 4 5
a speech.
24. While giving a speech, I get so nervous I forget facts I really know. 1 2 3 4 5