1. What is your field of study (major)?
2. What are your research interests?
3. How much computer experience do you have? Check as
many as apply to you:
_____ Very active user
_____ Use the Internet for research
_____ Use statistical software for research
_____ Not an active user
_____ Use Microsoft Word
or other word processing programs
_____ Use/familiar with PowerPoint
or other presentation software
_____ Use/familiar with Excel
or other presentation software
_____ Actively use e-mail
_____ Familiar with burning (saving information on) CDs
_____ Need assistance with computers
_____ Need assistance with _____ MS Word, _____ Excel, _____ PowerPoint
_____ I have a PC in my home
_____ I have a PC in my office
_____ I own a laptop computer
_____ I own a memory stick (jump drive)
4. How would you rate your English language skills?
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Reading
Writing
Listening
Speaking
Pronunciation
Vocabulary
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_____Excellent _____Good _____Fair
_____Poor
_____Excellent _____Good _____Fair
_____Poor
_____Excellent _____Good _____Fair
_____Poor
_____Excellent _____Good _____Fair
_____Poor
_____Excellent _____Good _____Fair
_____Poor
_____Excellent _____Good _____Fair
_____Poor
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5. What is your job, position, and/or title? Describe
your job responsibilities.
6. Do you use English in your work? If yes, how (for what
purpose)?
7. What do you like to do in your free time?
8. List 5 questions that you hope will be answered during
your 3-week Preparation Program of English for Graduate Studies:
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