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Interests and objectives survey

Conversation Groups Interests and Objectives Survey
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Questions marked with an * are required Exit Survey
 
 
Objectives
 
 
 
* What is your primary objective for attending a conversation group?
 
Have fun socialising in English
 
Practice/improve my general level of spoken English
 
Improve professional communication skills (in my job/voluntary work)
 
Help my academic/research work
 
Other
 
 
 
 
Do any of the other objectives apply? (Select all that apply)?
 
Have fun socialising in English
 
Practice/improve my general level of spoken English
 
Improve professional communication skills (in my job/voluntary work)
 
Help my academic/research work
 
Other
 

 
 
 
Interests and hobbies
 
 
 
* What is most important for you in your spare time? Please choose an alternative.
 
 
 
What kind of music do you listen to (Select all that apply)?
 
disco music
 
pop rock
 
heavy metal
 
jazz
 
blues
 
classical music
 
hiphop
 
techno
 
Folk/traditional
 
World music
 
Other
 

 
 
 
* What hobbies/interests do you have (Select all that apply)?
 
Gym
 
Shopping
 
Eating out
 
Cooking
 
Playing a musical instrument
 
Singing in a choir
 
Gardening
 
Playing a sport
 
Painting
 
Reading
 
Outdoor activities (hiking, mushroom picking
 
Photography
 
Cinema/films
 
Other
 

 
 
 
Occupation
 
 
 
* What is your occupation?
 
 
 
* Which of the following categories best describes the industry you work in?
 
Automotive
 
Advertising
 
Consulting Services
 
Education
 
Entertainment
 
Financial Services
 
Government Services
 
Healthcare
 
Human Resources
 
Information Technology
 
Marketing/Sales
 
Non-Profit
 
Pharmaceuticals
 
Public Relations
 
Technical Services
 
Travel
 
Other
 
 
 
Personal
 
 
 
If you like you can help me serve you better (for example by asking more appropriate questions) by giving me a little personal information about you. This is completely optional and any answers you give will be kept confidential (unless and until you decide to share this information with the group, of course).
 
 
 
What is your marital status?
 
Single (Never married)
 
Married
 
Domestic partnership
 
Widowed
 
Divorced
 
Separated
 
Don’t know
 
 
 
How many children do you have?
 
no children
 
1 child
 
2 children
 
3 children
 
more than 4 children
 
 
 
What is your date of birth?
 
 
 
Please tell me a bit about yourself in your own words (in English - it doesn't matter about mistakes!) and some ideas for what you'd like to talk about during the sessions (for example discussing a book or film, travel, eating out, wine, family...):
   
 
 
 
* First Name : 
* Last Name : 
* Phone : 
* Email Address :