Children’s English Learning Background Questionnaire\n 孩⼦英语学习背景调查问卷

Thank you for taking the time to fill out this questionnaire. We will use your feedback to provide a more suitable learning plan for your child.

感谢您抽出时间填写这份问卷，我们将根据您的反馈，为孩⼦提供更适合的学习⽅案。

Child’s Name:

孩⼦的姓名：

Child’s Age:

孩⼦的年龄：

years old / 岁

3. Has your child attended any extracurricular English classes?
孩⼦是否上过课外英语班？

If yes, please provide the followin ginformation:

如果是，请填写以下信息：

• Name of the materials used(if any):

所⽤教材名称（如有）：

• Duration of learning:

学习时⻓：

Current English learning situation:

孩⼦⽬前的英语学习情况：

Does your child have English exams in school?

是否有校内英语考试？

If yes,the most recent exam score:

如果有，最近⼀次考试成绩：

Futurelearningplansforyourchild(choose all that apply):

孩⼦未来的学习规划（可多选）：

•Domesticmiddleorhighschoolexams / 国内中⾼考• Studyingabroad / 出国留学• Attendinganinternationalschool / 就读国际学校• Notyetdecided / 暂未确定• Other: /其他：

English learning goals for your child (choose all that apply):

孩⼦的英语学习⽬标（可多选）：

• Improving speaking skills/ 提⾼⼝语能⼒• Improving listening comprehension / 提⾼听⼒理解• Improving grammar and writing skills/ 提⾼语法和写作• Improving test scores/ 提⾼考试成绩•PreparingforA2Key (KET) orotherCambridgeexams / 准备 A2Key (KET) 或其他剑桥考试• Other: /其他：

Has your child ever taken the A2 Key exam or plans to take it in the future?

孩⼦是否曾经参加过 A2Key (KET)考试，或者计划未来参加？

• Yes, planstotakeit / 是，计划参加

• No / 否

• Yes, hastakenit / 是，曾经参加过

• Score(ifapplicable):

分数（如有）：

10.

What are your expectations for your child’s English learning?

家⻓对孩⼦英语学习的期待：

11.

Other information you would like to share:

其他您认为需要补充的信息：

更多问卷复制此问卷