SPEAKER ASSESSMENT Name * First Name Last Name Email * Phone (optional) Country (###) ### #### 1. What language(s) do you speak every day? * 2. What languages do you understand but rarely speak? * 3. To the best of your knowledge, write down all of the languages you were exposed to by family and friends before the age of 5. * 4. How fast do you speak in a conversation in your first language? * I pronounce each word clearly. I pronounce some words more quickly than other words. I always speak quickly. 5. If someone speaks in a heavy accent in my first language, it makes me feel uncomfortable. * Strongly Disagree Disagree Neutral Agree Strongly Agree 6. If someone speaks in a heavy accent in my first language, I have the impression that this person is not educated. * Strongly Disagree Disagree Neutral Agree Strongly Agree 7. To be a clear and confident speaker, a person should use a standard British or American accent. * Strongly Disagree Disagree Neutral Agree Strongly Agree 8. When you present or speak to native speakers of English, do you become anxious? * Yes No 9. What do you like to listen or go to online to help you practise your English? (Optional question) http:// 10. Over the years, what kind of feedback have teachers, colleagues, clients or family members given you about your speaking skills in English? How did the feedback make you feel? * 11. What was one very memorable milestone in your journey to learn English? Was it a positive or negative experience? * 12. Do you have a physical disability that makes speaking challenging or difficult? * Yes No 13. During a social event with native English speakers, do you use this opportunity to listen instead of speak in English? * Yes No 14. Have you ever attended a program in English immersion, an intensive English course, or studies in an English-speaking environment? * Yes No 15. Complete this sentence: Speaking in English is challenging for me because... * 16. How often did you socialize with friends and family in English before you were 12 years old? * Always Most of the time Sometimes Never 17. I have been diagnosed in the past with dyslexia, ADHD or other learning disability. (Optional question) Yes No 18. In the last year, do you feel your work-life balance has been better, worse or the same? * Better Worse Same 19. In the last 5 years, do yo feel your memory has been better, worse or the same? * Better Worse Same 20. What do you enjoy reading, watching or listening to? Provide titles of books, names of TV series, podcasts, etc. * 21. If you could invite a person you admire on a road trip, who would it be and what would you discuss or do on the trip? Thank you!
