Learner Questionnaire

Questions in bold face throughout the questionnaire
are for Non-native Speakers of English (NNSE) only.

1. Where were you born? ______________

2. (If not born in U.S.) How old were you when you came to the USA? ____________

3. What was the first language you spoke as a child? ________

3a. (If other than English) Do you still speak this language?    yes / no

4. What is the highest school grade you completed not including adult education? ________________

4a. Why did you leave school?____________________

5. In what town or city, state (country) was that school?_______

6. (If not born in the U.S.) Did you attend school in (native country)?    yes / no

7. (If yes to #8) how many years? _________

8. (If yes to #8) In what language were you taught? ___________

9. Can you read (native language)?   yes / no

10. Can you write (native language)?   yes / no

11. Can you read and write English?   yes / no / a little

11a. How old were you when you learned to read and write English? _____
12. Where did you learn to read and write English? (home, school)?______
13. How many schools did you attend as a child? _____

14. Did you ever repeat a grade? yes / no. (If yes) Which grade(s)? ____________

15. Do you remember ever having trouble with reading as a child  yes / no

16. (If yes) In which grade did you first have trouble?
____first grade;
____ second or third grades;
____ fourth or fifth grades; ____ sixth, seventh or eighth grades;
____high school

17. When you were a child did you ever participate in any of the
following programs; if you did, please describe when and where.

___individual tutoring___________________at home______in school______
___Chapter I or Title I______________________________
___Resource Room_________________________________
___special classes__________________________________
___Core evaluation__________________________________
___Special education_________________________________

18. What made you decide to take adult education classes?________
________________________________________________________
________________________________________________________

19. What do you plan to do after you complete your adult education classes?___________________
__________________________
__________________________

20. About how many hours a week do you read for pleasure (in English)?
___less than 1;
___1-3;
___4-6;
___more than 6

21. About how many hours a week do you read for pleasure in (native language)? ___less than 1;
___1-3;
___4-6;
___more than 6

22. What do you find hard about reading? Which of the following
problems seem to apply to you when you read?