Name: _______________________________ Number: _________

Telephone: ____________________________

Email: ________________________________

Please circle one for each of the following questions:

1. What is your gender? male female

2. What is your age? 18-20 21-23 24-26 over 26

3. How long did you study French in High School?

0-1 years 2-3 years 4-5 years over 5 years

4. How long have you studied French at the university level?

1 semester or less 2 semesters 3 semesters

5. What is your native language?

English Other (please specify)

_________________________

6. What is your nationality?

American Other (please specify)

__________________________

7. Do you have French speaking parents or relatives?

Yes (please provide more detail) No

8. Do you use a dictionary while completing French homework/assignments?

always usually sometimes rarely never