Language Proficiency Learning Assessment Form
Assess your language proficiency and learning experience. Please answer all questions to help us understand your skills and progress.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Which language are you assessing?
*
How would you rate your overall proficiency in this language?
*
Beginner
Elementary
Intermediate
Upper-Intermediate
Advanced
Proficient/Fluent
How often do you use this language?
*
Please Select
Daily
Several times a week
Once a week
A few times a month
Rarely
How comfortable are you with the following skills in this language?
*
Rows
Not at all comfortable
Somewhat comfortable
Comfortable
Very comfortable
Speaking
1
2
3
4
Listening
5
6
7
8
Reading
9
10
11
12
Writing
13
14
15
16
Please rate your motivation to improve your language skills.
*
Not motivated
1
2
3
4
5
6
7
8
9
Highly motivated
10
1 is Not motivated, 10 is Highly motivated
Which learning methods do you use most often?
*
Classroom instruction
Online courses
Language exchange
Self-study (books/apps)
Tutoring
Other
Please indicate your agreement with the following statements.
*
Rows
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
I can communicate effectively in everyday situations.
17
18
19
20
21
I understand most spoken conversations in this language.
22
23
24
25
26
I can read and comprehend texts at my level.
27
28
29
30
31
I feel confident expressing myself in writing.
32
33
34
35
36
I enjoy learning new vocabulary and grammar.
37
38
39
40
41
What is your primary goal for learning this language?
*
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