JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
ESL Orientation Survey
Escondido Adult School
August 2023
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Your First and Last Name
*
Your answer
1. Have you taken classes at Escondido Adult School before?
*
Yes, I have.
No, I haven't.
I'm not sure.
2. Why do you want to improve your English skills? Check up to 3 choices.
*
for my job
to help my family
It is a personal goal.
to get my U.S. citizenship
to get the skills that will help me in my daily life
to get my high school diploma
to continue my education
Other:
Required
3. What English skill do you most want to learn?
*
Reading
Writing
Speaking
Listening
Language
4. How will you use your new English skills? Check up to 3 choices.
*
to talk to my colleagues and boss at work
to understand English television and movies
to communicate with my child's teachers
to feel more comfortable while talking on the phone
to talk to my doctor/dentist
to read important paperwork and documents
to write emails
to have conversations in my community
Other:
Required
5. How many years of schooling do you have?
*
Your answer
6. Are you interested in earning a high school diploma?
*
Yes, I am.
No, I'm not.
I'm not sure.
7. What could make it difficult to attend ESL classes? Select all that apply.
*
work
children
not interested in the class material
do not have a computer or tablet
do not have WiFi
do not have transportation
Other:
Required
8. Have you ever taken online classes?
*
Yes, I have.
No, I haven't.
9. What device will you use to attend online ESL classes?
*
a computer or laptop
a tablet
a phone
I don't have a device.
Required
10. Technology is _______.
*
easy for me
a little difficult for me
very difficult for me
11. Do you have anyone to help you with technology at home?
*
Yes, I do.
No, I don't.
Maybe.
12. Do you have an email address you can use for school?
*
Yes, I do.
No, I don't. I need help creating an email address.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Escondido Union High School District.
Report Abuse
Forms
