Chinese Language Course Questionnaire

STUDENTS SHOULD ONLY COMPLETE THIS ASSESSMENT IF THEY ARE PLANNING TO ENROL IN CHI100Y5, CHI200Y5, CHI201H5 OR CHI202H5.

This questionnaire is to help Chinese instructors determine which Chinese course is appropriate for you to take. Please answer the following questions to the best of your knowledge and as completely and thoroughly as possible.

It is very important that you answer all questions. We will not consider any incomplete questionnaires. If an incomplete questionnaire is submitted, it WILL NOT be assessed.

Your information will be kept strictly confidential.

(If checked any box from the first three, go to question 5; if checked the last box, go to question 6)
List courses and academic year.
(If yes, go to questions 8-14; if no, go to questions 15-23)

State city and province (i.e Toronto, Ontario)
(If yes, go to question 10; if not, go to question 11)

List the following: Name of Schools; Type of School (regular local, International, if other specify); Start and End Dates; City, Province, Country; Language/Dialect; Studied Mandarin. For example, Beijing Elementary School, Regular Local, Sept. 2002-2008, Beijing, Mainland China, Studied Mandarin.
If yes, go to question 12; if no, go to question 13.
If Yes, go to question 14, if No, go to question 24.
(go to question 24 after completing this question.)

Enter as City/Town, Prov./State, Country/Region.
If yes, go to question 19; if no, go to question 20.

List the following: Name of School; Type of School (regular local, International, if other specify); Start and End Dates; City, Province, Country; Language/Dialect; Studied Mandarin. For example, Beijing Elementary School, Regular Local, Sept. 2002-2008, Beijing, Mainland China, Studied Mandarin.
If Yes, go to question 21, if No, go to question 22.
If Yes, go to question 23, if No, go to question 24.
(go to question 24 after completing this question.)
List First Language, Second Language, Third Language and all others.
If Yes, then answer 25. (b).
28. References who know your language background:
Must provide Name, Relationship to you, Contact information(e-mail and phone number).
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.