questionnaire

This questionnaire is solely for the purpose of organizing the NU Intensive Japanese Program. We will not use the results of this survey for any other purpose. Please answer the following questions as per the given guidelines. Thank you for your co-operation.

If you find any difficulity in this questionnaire, please report to us (※メールアドレス)

Ⅰ. About yourself
Name
Nationality
How long is your total period of stay in Japan?
Have you taken the Japanese Language Proficiency Test? If yes, please give details what level and in which year you passed.	Yes No Grade Year
Where did you study Japanese before?	As major subject As optional course At a private language school By yourself In the other ways
How long have you studied Japanese?

Ⅱ. About your Japanese.
Choose your level of spoken Japanese from one of the following.	Beginner Semi-Intermediate Intermediate Intermediate-Advanced Advanced
Choose your level of listening power from one of the following.	Beginner Semi-Intermediate Intermediate Intermediate-Advanced Advanced
Choose your level of written Japanese from one of the following.	Beginner Semi-Intermediate Intermediate Intermediate-Advanced Advanced
Choose your level of reading power from one of the following.	Beginner Semi-Intermediate Intermediate Intermediate-Advanced Advanced
Choose your Hiragana using proficiency level.	Neither can read nor write. Can read but not write. Can do both.
Choose your Katakana using proficiency level.	Neither can read nor write. Can read but not write. Can do both.
Choose your Kanji reading proficiency level.	Can not read at all. Can read Kanji's used for public signs. Can read Kanji's used in Japanese newspapers.
Choose your Kanji writing level.	Cannot write any Kanji. Can write Kanji's used in informal letter writing. Can write essays using Kanji.

Ⅲ. About your needs
What is the ultimate level of Japanese language proficiency you are aiming for in future?	Nativelike Ex．Use Japanese at work. Ex. Communicate with people around you in your daily life. Ex. Converse with friends. Ex. Gain minimum survival ability in daily life. Ex. Greet people. Survival
In what situations do you feel that you need Japanese most?	business travel daily life making friends others
Which skills do you want to cover in this program?	speaking listening writing reading others
If you have something to say or ask, this column is for you.

Ⅳ. About your intention to participate in this program
Are you planning to join the NU Intensive Japanese Program?	Yes No
If yes, please check your class dates from the following three choices. You may chose more than one.	7/25(Tue), 26(Wed), 27(Thu), 28(Fri) 8/7(Mon), 8(Tue), 9(Wed), 10(Thu) 8/17(Thu), 18(Fri), 21(Mon), 22(Tue) *To be decided by majority opinion of this questionnaire.
If it is not asking too much, please let us know your e-mail.

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