Questionnaire

Bio-data and Writing Styles Questionnaire
Linguistics 101, Spring 2008
Instructor: Qian Zhou (Jane)

Part A: Student Background Information

Directions: Please provide answers to the statements below. Your thoughtful responses will help your instructor to learn more about you.

Full Name:

Name you would like me to call you:

Student ID number:

Sex: Male Female

Birth Date (Month/Day/Year):

Classification:
Freshman Sophomore Junior Senior Graduate Postgraduate Non-degree Other (please specify)

Major Department

Local phone number

E-mail address (frequently used)

Country of origin

Native language(s)

Additional language(s) you speak other than English

How long have you been in the United States?

How long have you been studying English?








What are your expectations of this course and me as your instructor?













As your instructor, I would like to know more about you. Please candidly write at least one paragraph about yourself, which you want me to know.












Part B: Self-Assessment and Goals

Directions: Please complete the statements below with at least three points. Be as specific as you can.

My greatest strengths as a writer of English include
a.
b.
c.

The aspects of my writing that I would like to improve the most include
a.
b.
c.