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Name
   
Have you every written a research paper?
   
 
 
 
How many years of English instruction have you had? 
 
0-1
 
2-3
 
4-6
 
7-10
 
 
 
How many years of writing instruction have you had? 
 
0-1
 
2-3
 
4-6
 
7-10
 
 
 
How do you feel your verbal English ability is?
 
Excellent
 
Good
 
Fair
 
Poor
 
 
 
How well do you feel your English writing ability is?
 
Excellent
 
Good
 
Fair
 
Poor
 
 
 
Does your English verbal ability need improvement?  
 
No improvement needed
 
Little improvement needed
 
Some improvement needed
 
A lot of improvement needed
 
 
 
Does your English writing ability need improvement?
 
No improvement needed
 
Little improvement needed
 
Some improvement needed
 
A lot of improvement needed
 
 
 
Is there terminology that you are not sure of when given directions in an English class? 
 
Yes, everyday
 
Yes, sometimes
 
Yes, but only once in awhile
 
No, I understand everything
 
 
 
Is there terminology when given a writing assignment that you do not understand? 
 
Yes, everyday
 
Yes, sometimes
 
Yes, but only once in awhile
 
No, I understand everything
 
 
 
What is the area that you need the most help in? 
 
Vocabulary
 
writing instructions
 
the writing process
 
speaking English