sample questionnaire
DESCRIPTION
A requirement for our Research ClassTRANSCRIPT
QUESTIONNAIRE
We would greatly appreciate your cooperation in filling out this questionnaire. Please answer all the questions truthfully and sincerely. The data collected here will be treated
as confidential.
Name: ________________________________________ Section:_______________
NOTE: English television shows are defined as television programs that use English as their primary language or primary way of communication.
I. Please check the box that applies to you.
1) Do you watch English television shows/programs? (Check one)
2) What type of English television shows do you usually watch? (Check three)
3) How often do you watch these English television shows? (Check one)
Documentaries/ How-to shows
Comedies/Prank shows Cartoons/AnimationTV Series Reality Shows
OthersPlease specify: _______________________
Talk Shows
Always (3-5 times a week)
Sometimes (Once a week)Occasionally (Once a month)Rarely (Several times a year)Never (I don’t watch English TV shows)
Yes
NoIf this is the case, skip question #2
4) How would you rate your exposure to English television shows (from childhood until now)?
5) How would you rate your written proficiency in English?
6) How would you rate your oral proficiency in English?
7) Has watching English television shows improved your proficiency in English?
5 (Very strong)
4 (Slightly strong)
3 (Strong)
2 (Not Strong)
1 (Weak)
5 (Very strong)