受试者背景信息调查表

亲爱的同学:
您好!本问卷旨在了解您的基本情况与汉语学习背景,所有信息仅用于学术研究,将严格保密。请根据实际情况填写或选择。感谢您的配合!
Hello! This questionnaire aims to understand your basic situation and Chinese language learning background. All information is for academic research purposes only and will be strictly confidential. Please fill in or select according to the actual situation. Thank you for your cooperation!
第一部分:基本信息 

Part I: Basic Information

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1.
姓名(Name)
*
2.
联系方式(Tel/WeChat)
*
3.
性别(Gender)
*
4.
出生年月Birth Date)
*
5.
国籍(Nationality)
*
6.
母语Native Language)
*
7.
年级(Grade)
第二部分:汉语学习背景

Part II: Chinese Language Learning Background

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8.
HSK等级(请选择目前通过的最高等级):
HSK Level (please select the highest level you have passed):
未参加过HSK考试(Have not taken HSK)
HSK Level 1
HSK Level 2
HSK Level 3
HSK Level 4
HSK Level 5
HSK Level 6
9.
累计学习汉语的年限Total duration of Chinese learning)
(years) 个月(months)
*
*
10.
除课堂学习外,您每天使用汉语的时间大约为
Apart from classroom learning, approximately how much time do you spend using Chinese daily?
几乎不用
Almost none
少于1小时
Less than 1 hour
1-3小时
1-3 hours
3-5小时
3-5 hours
5小时以上
More than 5 hours
*
11.
您主要通过哪些方式接触汉语(可多选):
How do you mainly engage with Chinese? (multiple selections allowed):
【多选题】
课堂教学
Classroom instruction
与中国朋友交流
Communicating with Chinese friends
观看中文影视/综艺
Watching Chinese movies/TV shows
收听中文音乐/播客
Listening to Chinese music/podcasts
阅读中文书籍/新闻
Reading Chinese books/news
使用中文社交媒体(如微信、微博、小红书)
Using Chinese social media (e.g., WeChat, Weibo, Rednote)
其他
Other
*
12.
您是否参加过类似的汉语阅读或词汇实验?
Have you ever participated in similar experiments on Chinese reading or vocabulary?
否 No
是 Yes
*
13.
您是否有阅读障碍、注意力缺陷或视力矫正后仍影响阅读的情况?
Do you have any reading difficulties, attention deficits, or vision problems that affect reading even after correction?
否 No
是 Yes
第三部分:自我评估

Part III: Self-Assessment

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14.
标题
很差 Very Poor较差 Poor一般 Average较好 Good很好 Excellent
我的汉语听力水平
My Chinese listening ability
我的汉语听力水平
My Chinese listening ability
我的汉语口语水平
My Chinese speaking ability
我的汉语口语水平
My Chinese speaking ability
我的汉语阅读水平
My Chinese reading ability
我的汉语阅读水平
My Chinese reading ability
我的汉语写作水平
My Chinese writing ability
我的汉语写作水平
My Chinese writing ability
我对汉语词汇意思的推测能力
My ability to infer the meaning of Chinese words
我对汉语词汇意思的推测能力
My ability to infer the meaning of Chinese words
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