FLE Demographics Survey TRANSTAC Evaluation
Foreign Language Expert Demographics Survey
Thank you for participating in the TRANSTAC program. The information requested in this form will be used to understand your language background and experience. Please complete it as fully as possible.
1. Age: ______________________ 2. Gender: Male Female
3. Highest degree: ___________________________________
4. What parts of your education had <focus-language> as the primary language? (for example: elementary school?, middle school?, high school?, college?)
________________________________________________________________________________________________________________________________________________
5. Where did you live as a young child? _______________________________________
6. Other places you lived and at what ages:
________________________________________________________________________________________________________________________________________________
7. When did you learn English? ________________________
8. What dialect(s) of <focus-language> do your speak?
________________________________________________________________________
9. Name a large town where people speak your (primary) dialect of <focus-language> the same way that you speak it?
________________________________________________________________________
10. What dialect(s) of <focus-language> do your parents (or whoever raised you) speak? If your parents (or whoever raised you) speak different dialects, name all dialects.
________________________________________________________________________
11. Any other notable language influences? E.g., spouse frequently uses another language. _______________________________________________________________
________________________________________________________________________
12. What is your occupation? ________________________________________________
13. How often do you use a computer at home?
0 1 2 3 4 5
N/A Never Rarely Occasionally Frequently A Lot
14. How often do you use a computer at work?
0 1 2 3 4 5
N/A Never Rarely Occasionally Frequently A Lot
15. How comfortable are you with using computers?
0 1 2 3 4 5
N/A Not A Little OK Mostly Very
Comfortable Uncomfortable Comfortable Comfortable
16. How comfortable are you with speaking <focus-language>:
0 1 2 3 4 5
N/A Not A Little OK Mostly Very
Confident Confident Confident Confident
17. How comfortable are you with understanding spoken <focus-language>:
0 1 2 3 4 5
N/A Not A Little OK Mostly Very
Confident Confident Confident Confident
18. How comfortable are you with reading <focus-language>:
0 1 2 3 4 5
N/A Not A Little OK Mostly Very
Confident Confident Confident Confident
19. How comfortable are you with writing <focus-language>:
0 1 2 3 4 5
N/A Not A Little OK Mostly Very
Confident Confident Confident Confident
20. How comfortable are you with speaking English:
0 1 2 3 4 5
N/A Not A Little OK Mostly Very
Confident Confident Confident Confident
21. How comfortable are you with understanding spoken English:
0 1 2 3 4 5
N/A Not A Little OK Mostly Very
Confident Confident Confident Confident
22. How comfortable are you with reading English:
0 1 2 3 4 5
N/A Not A Little OK Mostly Very
Confident Confident Confident Confident
23. How comfortable are you with writing English:
0 1 2 3 4 5
N/A Not A Little OK Mostly Very
Confident Confident Confident Confident
NOTE: This survey contains collection of information requirements subject to the Paperwork Reduction Act. Notwithstanding any other provision of the law, no person is required to respond to, nor shall any person be subject to a penalty for failure to comply with, a collection of information subject to the requirements of the Paperwork Reduction Act, unless that collection of information displays a currently valid OMB control number. The estimated response time for this survey is 4.9 minutes. The response time includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information." OMB Number: 0693-0043 Expiration: 10/31/2012.
Thank you for your participation.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | Name ________________________ |
Author | Sherri L. Condon |
File Modified | 0000-00-00 |
File Created | 2021-02-03 |