Background Information Survey for Korean Language Students

Your Name:
Korean Name if any:
Email Address:
School Year:
Major:
Minor:

 

Your background in Korean Language (if any): 5 being the best

1. Language Skills:

Speaking

0: 1: 2: 3: 4: 5:
Listening 0: 1: 2: 3: 4: 5:
Reading 0: 1: 2: 3: 4: 5:
Writing 0: 1: 2: 3: 4: 5:

2. Hangul:

Reading only: Writing only: Both: Neither:

3. Speak Korean at home:

Mainly: Partially: None:

4. Have attended any school in Korea:

Yes: No:

If yes, up to what level?

Kinder: Graduated:
Elementary: Graduated: If not, attended up to Grade

Junior High:

Graduated: If not, attended up to Grade
High School: Graduated: If not, attended up to Grade

5. If you have had any instruction on Korean before, list them, beginning with the most recent, including (i) School, (ii) Course, (iii) Instructor, (iv) Terms (e.g. Fall 98), and (v) Grade:

6. Any other Korean Learning Experience:

7. Your Background in other foreign languages: 5 being the best

Language:

Speaking 1: 2: 3: 4: 5:
Listening 1: 2: 3: 4: 5:
Reading 1: 2: 3: 4: 5:

Writing

1: 2: 3: 4: 5:

8. Reason(s) why taking Korean:

9. Any Comments and Suggestions