Thank you for sharing with your instructor as much information as you feel comfortable. This will enable the instructor to meet your needs and help you reach your goals. All information on this questionnaire is CONFIDENTIAL and will only be shared with the instructor.

***If you are a returning student and have already filled out this survey, simply click on the checkbox for 'already completed' and hit submit to complete your registration.
  Already Completed

Your Full Name
Occupation

Please finish this statement: I want to learn to speak Spanish so I can...

What languages have you studied previous to this class, and for how long? Please use this area to explain.
 
If you have had previous language study, how would your describe your success at learning another language?
 Very successful. I am proficient in another language (speaking, reading, writing).
 Fairly successful. I can get by in another language (speaking, reading, writing).
 Satisfying. I can recognize phrases and use a dictionary for key words.
 It was very difficult. I had a hard time and forgot almost everything.
 
What do you think influenced this outcome?
 Personal time focused on studying
 Text or materials
 Personal Motivation
 Lack of practice with native speakers
 Teaching techniques
Other: 
 
Is there anything about your personal learning style that you would like to tell the teacher?
 I am a visual learner, I need to see it.
 I am an auditory learner, I need to hear it.
 I need to move around and like activities.
 I need new study techniques.
Other: 
 
Is there anything that the teacher can do to accommodate a specific need you may have?
 I need to sit near the front of the class.
 I have a hard time hearing.
Please specify if you have a learning disability: 
Is there anything you are nervous or afraid of?: 
Anything else? 
 
How much time do you plan to study Spanish outside of class? (This includes practicing conversations with others)
 15min- 30 min/day
 30min- 1hour/day
Other: 
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