Hindi/Urdu Language Course Assessment Questionnaire

This questionnaire is to help instructors determine which Hindi/Urdu 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. Please note that students may be asked to attend an interview.

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)

Line 1

(If Yes, proceed to question #10; if not, proceed to question #11)

Line 2

List the following: Name of Schools; Type of School (regular local, International, if other specify); Start and End Dates; City, Country; Language: Hindi or Urdu. For example, Central School Delhi Cantt No 1, New Delhi, India, Studied Hindi.
If Yes, proceed to question # 12; If No, proceed to question # 13.
Go to question #24 after completing this question.

Line 3

Enter as City/Town, Prov./State, Country/Region.
If Yes, proceed to question #19; if No, proceed to question # 20.
List the following: Name of Schools; Type of School (regular local, International, if other specify); Start and End Dates; City, Country; Language: Hindi or Urdu. For example, Central School Delhi Cantt No 1, New Delhi, India, Studied Hindi.
If Yes, proceed to question #21; if No, go to question 22.
If Yes, proceed to question # 23; If No, proceed to question #24.
Proceed to question #24 after completing this question.
List First Language, Second Language, Third Language and all others.
29. References who know your language background.
Must provide Name, Relationship to you, Contact information (e-mail and phone number).
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