March 2005



Please note:
Your responses
are anonymous.

ESOL Student Survey


We are trying to gather information on ESOL students so we can better serve you. Please respond to all of the items. Thank you.

Choose your response
for each item below

Student ID Number

1) Please select the course that you are enrolled in

2) Age

3) Gender

Male
Female

4) Marital Status

single  
married and my spouse lives with me
married but my spouse
     lives in another country
separated or divorced  
widowed

5) My native language is

Cambodian  
Chinese
Filipino
Japanese  
Korean
Laotian  
Pacific Island Language:
     Specify:
     

Portuguese
Spanish  
Thai
Vietnamese  
Other:
     Specify:
     

6) In my home country, the highest level of schooling I completed was

I did not go to school  
elementary school
intermediate school
high school  
2-year college
4-year college  
graduate school

7) In my home country, I studied English

not at all  
for 1-2 years
for 3-6 years
for 7 or more years  

8) I attended elementary, intermediate and/or high school in the U.S.

Yes
No

If yes, please list the grade levels you completed in the U.S.

9) I have lived in the U.S. a total of

less than 1 year  
1-5 years
6-10 years
more than 10 years  

10) My status is

I am an American citizen   
I am a green-card holder
I am here on a Student Visa
I am here on another kind of visa  

11) I have taken English classes in the Adult Education Program at Kaimuki, Farrington, or McKinley High School , etc..

Yes
No

12) I have taken one or more classes at another community college in Hawaii besides this one

Yes
No

13) I learned about this college

by word of mouth
    (from friends, from my parents,
    etc.)

from my teacher or counselor
from the newspaper
from the Internet  
from somewhere else

14) I am attending a community college because I want to

improve myself
get a better job at my work place
get a certificate or degree from
    
KCC
transfer to UH or other university

15) This is my _______________ semester at KCC

first
second
third
fourth
more than fourth

16) I am currently taking NON-English courses like Math, history, etc.

Yes
No

17) I speak English at home

all of the time
some of the time
never, not at all

18) One or both of my parents went to college

Yes
No

19) I read an English newspaper and/or magazine

Regularly
Sometimes
Not often
Not at all

20) I work _______________ hours a week

0
less than 10
10-20
21-40
more than 40

21) If yes, I speak English at work _______________

all of the time  
some of the time
never, not at all


Please write any suggestions you may have

This survey is sponsored by © MOO Assessment Tool.