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SURVEY QUESTIONNAIRE

Thank you for participating in this questionnaire. The purpose of this questionnaire is to identify the
struggles of using the English medium as a way of communication of freshmen students. This
questionnaire is anonymous, so please answer honestly. Your responses will be used for research
purposes only.

Q1. Are you comfortable using the English language daily?

☐ YES ☐ NO
Why YES? Why NO?

_____________________________________________________________________________________
_____________________________________________________________________________________
__________________________________________________________

Q2. Do you think it is necessary to learn the English language?

☐ YES ☐ NO
Why YES? Why NO?

_____________________________________________________________________________________
_____________________________________________________________________________________
__________________________________________________________

Q3. Are you struggling to use English during class?

☐ YES ☐ NO

Reasons why?

_____________________________________________________________________________________
_____________________________________________________________________________________
__________________________________________________________

Q4. Can you fluently understand and use English?

☐ YES ☐ NO
Why YES? Why NO?

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Q5. Do you feel inferior to others that are fluent in English?

☐ YES ☐ NO
Why YES? Why NO?

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Directions: Read carefully and check the box below to answer.


4 3 2 1
(Extremely) (Moderately) (Slightly) (Not at all)
1. Are you comfortable using
the English language daily?

2. Do you think it is necessary


to learn the English
language?

3. Are you struggling to use


English during class?

4. Can you fluently understand


and use English?

5. Do you feel inferior to


others that are fluent in
English?

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