sample questionnaire

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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/Animation TV Series Reality Shows Others Please specify: _______________________ Talk Shows Yes No If this is the case, skip question #2

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A requirement for our Research Class

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Page 1: Sample Questionnaire

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

Page 2: Sample Questionnaire

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)