Universidad Estatal a Distancia

Course: Formación Profesional Docente I

Estudiante: David Villalobos Betancourt

Socio-Academic Survey for the Students of Diachrony of English at the

Universidad Nacional, II Semester 2009

Hello students. Hopefully your semester has been great for all of you. At present I
am taking the course Formación Profesional Docente I from Universidad Estatal a
Distancia, and I am conducting a survey to collect information about my students in
the course Diachrony of English, the lessons and the methodology followed. I will be
very thankful if you could help me on this. The information you provide will be treated
confidentially and it will be used just for the purposes of my course. This document is a
smart sheet, so all you have to do is either check the boxes or open the drop down
menus. Once you have completed the survey save all the changes and mail it back to
me. You do not have to write your name.

Objective: To compile information on the socio-academic status of the students of the

course Diachrony of English to get to know the population better.

Personal Information

1. Gender: Male

2. Age: 19

3. Marital status: Single

4. Where do you live? Liberia

5. What type of housing do you live in? House

6. What is your house made of? Concrete

7. How many people live in your housing besides you? 1

8. How many bedrooms are there in your house? 1

9. Check all the public services you have at home.

Running water Electricity Telephone

Cable Fax Internet Connection

10. Check all the electric appliances that you have at home.

Stove Microwave oven Blender Refrigerator

Rice Cooker Electric skillet Coffee Maker TV set
Fan DVD Player VHS Computer
Stereo Other:      
11. Who do you live with?

Mother Cousins
Father Nieces and nephews
Uncles or Aunts Others
Siblings Spouse
Grandparents Own Children

12. How many children do you have? 0

13. What is your family’s approximate monthly income? Less than 100,000 colones

14. Who pays for your studies? Myself

15. Do you feel fine with your family? Always

Academic information

16. When it comes to the classroom, do you feel fine and at ease there? Always

17. Do you feel satisfied with the evaluation of the course? Yes

18. Do you like the contents of the course?Yes

19. Do you like the way the professor teaches the lessons? Yes

20. Do you feel motivated in class? Always

21. How much do you think your learning has improved in the course? A Lot

22. How often do you consider your professor listens to you and caters for your needs?
Always

23. What would you do to improve this course? (Type your answer in the box)      

24. How do you feel with your studies? (Type your answer in the box)      

25. Do you plan to continue studying to obtain a “Licenciatura” or Master’s Degree?

(Type your answer in the box)      

Thank You Very Much for Your Cooperation