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Surveys
2013
September
I
Interests and objectives survey
Interests and objectives survey
Conversation Groups Interests and Objectives Survey
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Questions marked with an
*
are required
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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.
-- Select --
Nothing special
Sport
Music
Culture
Animals
Internet/social media
Going out
Travelling
Other
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?
-- Select --
Full time mother
Full time worker
Part time worker
Student
Not currently working
Retired
Company director/owner
Researcher
Other
*
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?
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2024
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
:
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