1. 您的性别Your gender ：________ 2. 您的国籍Your nationality ：________ 3. 您的汉语水平Your Chinese proficiency ： HSK 3-4 级（中级） HSK 5-6 级（高级）
4. 您学习汉语的时长How long have you been studying Chinese ： 1 年以内 1-3 年 3-5 年 5 年以上
5. 您是否有过中国文化相关课程学习经历（如书法、饮食文化）Have you ever taken courses related to Chinese culture (such as calligraphy, food culture) ： 从未有 1-2 次 3-5 次 5 次以上
6. 您喜欢中国茶文化吗Do you like Chinese tea culture ？： 喜欢 一般 不喜欢
7. 你对中国茶文化哪些部分感兴趣（多选题）?Which aspects of Chinese tea culture are you interested in? (Multiple choices) ： 茶艺（茶器、茶水、茶品等）Tea art (tea utensils, tea water, tea varieties, etc.) 茶礼Tea etiquette 茶和人的性格The connection between tea and personality
8. 您通过哪些途径了解中国茶文化（多选题）How do you learn about Chinese tea culture? (Multiple choices) ： 中文课堂Chinese language classes 中国朋友交流Communication with Chinese friends 旅行体验（如茶馆喝茶）Travel experiences (such as drinking tea in tea houses) 影视 / 纪录片（如《茶，一片叶子的故事》）Films / documentaries (such as "A Leaf's Journey") 其他 Others
9. 您是否了解《红楼梦》这部作品？Do you know about the work "Dream of the Red Chamber"? 完全不了解Completely unfamiliar 听说过，但未接触内容Heard of it but have not read it 看过影视改编（如 87 版电视剧）Watched film or TV adaptations (such as the 1987 TV series) 读过部分原文 / 译本Read part of the original or translation 读过完整版原文 / 译本Read the complete original or translation
10. 您接触《红楼梦》的主要途径（多选题）What are your main ways of getting to know "Dream of the Red Chamber"? (Multiple choices) ： 中文课堂老师介绍 Introduction by Chinese language teachers 影视 / 动画作品 Film / animation works 中文书籍 / 译本Chinese books / translations 朋友推荐ecommendations from friends 其他Others
11. 若学习 “栊翠庵品茶” 相关的茶文化，您最感兴趣的内容是（多选题）If you were to learn about the tea culture related to "Tea Tasting at Longcui Nunnery", what aspects would you be most interested in? (Multiple choices) ： 茶的种类（如老君眉、六安茶等）Types of tea (such as Laojunmei, Lu'an tea, etc.) 茶具（如成窑杯、绿玉斗等）Tea utensils (such as Chengyao cups, green jade bowls, etc.) 烹茶用水（如雨水、雪水的选择） Water for brewing tea (such as the choice between rainwater and snow water) 茶礼（如妙玉给不同人奉茶的顺序、礼仪）Tea etiquette (such as the order and etiquette of serving tea by Miaoyu to different people) 茶与人物（如妙玉的性格通过茶事体现）Tea and characters (such as the reflection of Miaoyu's personality through tea affairs) 其他Others
12. 您希望通过学习 “栊翠庵品茶” 茶文化，收获哪些能力（多选题）What abilities do you hope to gain by learning about the tea culture of "Tea Tasting at Longcui Nunnery"? (Multiple choices)： 提升中文阅读能力（如理解《红楼梦》片段）Improve Chinese reading ability (such as understanding excerpts from "Dream of the Red Chamber") 了解中国传统礼仪与社会文化Understand traditional Chinese etiquette and social culture 对比本国与中国的饮茶习俗 Compare tea customs between your country and China 提高跨文化交际能力（如与中国人聊茶文化）Enhance cross-cultural communication skills (such as discussing tea culture with Chinese people) 其他Others
13. 您偏好通过哪种方式学习 “栊翠庵品茶” 茶文化（多选题）How would you prefer to learn about the tea culture of "Tea Tasting at Longcui Nunnery"? (Multiple choices) ： 观看影视片段（如 87 版《红楼梦》相关场景） Watching film clips (such as scenes from the 1987 "Dream of the Red Chamber") 实物体验（如触摸茶具、闻茶香）Physical experience (such as touching tea utensils, smelling tea aroma) 情境模拟（分组扮演贾母、妙玉，练习奉茶） Role-playing (such as dividing into groups to play the roles of Grandma Jia and Miaoyu, practicing serving tea) 小组讨论（对比中西方社交礼仪差异）Group discussions (comparing social etiquette differences between China and the West) 老师讲解文本（分析《红楼梦》原文细节） Teacher's textual explanation (analyzing details of the original "Dream of the Red Chamber") 其他 Others
14. 您是否希望课堂中加入 “跨文化对比” 环节（如对比您国家与中国的饮茶礼仪）？Do you hope that the class will include a "cross-cultural comparison" section (such as comparing tea etiquette between your country and China)? 非常希望 Very much hope 希望 Hope 无所谓Don't care 不希望Don't hope 非常不希望Very much don't hope
15. 您认为学习 “栊翠庵品茶” 茶文化可能遇到的困难是（多选题）What difficulties do you think you may encounter when learning the tea culture of "Tea Tasting at Longcui Nunnery" (Multiple choices) ： 《红楼梦》原文语言较难（如古代词汇） The original language of "Dream of the Red Chamber" is difficult (such as ancient vocabulary) 不理解茶具 / 茶类背后的身份等级含义Not understanding the social status implications behind tea sets and types of tea 难以体会茶礼中的 “尊重”“含蓄” 等文化内涵Difficulty in grasping the cultural connotations of "respect" and "restraint" in tea etiquette 不知道如何与本国文化对比 Not knowing how to compare with your own culture 其他 Others：
16. 您是否需要老师提供 “学习辅助材料”（多选题）Do you need the teacher to provide "learning aids" (multiple choices) ： 《红楼梦》片段简化版（带生词注释）Simplified version of "Dream of the Red Chamber" excerpts (with annotations of new words) 茶具 / 茶类图片对照表Picture comparison table of tea sets and types of tea 中西方饮茶习俗对比表Comparison table of tea drinking customs between China and the West 其他Others
17. 若课堂中有 “实践活动”，您最想参与（多选题） If there are "practical activities" in the class, which ones would you most like to participate in (multiple choices) ： 模拟 “奉茶礼仪”（按身份选择茶具、奉茶顺序）Simulate "tea serving etiquette" (selecting tea sets and serving order based on social status) 描述 “您国家的饮茶场景” 并与同学分享 Describe "tea drinking scenes in your country" and share with classmates 设计 “现代版栊翠庵茶会”（用现代物品替代古代茶具）Design a "modern version of the tea party at Longcui Nunnery" (using modern items to replace ancient tea sets) 其他 Others：
再次感谢您的填写！祝您汉语学习顺利！Thank you again for your participation! Wish you success in your Chinese learning!