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5th Grade Ice Breaker Survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
What is your favorite subject?
Choose your favorite subject from the options below.
Math
Science
English
History
Art
2
How confident do you feel in speaking English?
Rate your confidence in speaking English on a scale of 1 to 10.
3
What is your favorite book?
Please type the title of your favorite book.
4
Do you enjoy writing in English?
Select yes or no.
Yes
No
5
How often do you read in English for fun?
Choose how often you read in English for fun from the options below.
Every day
A few times a week
Once a week
Rarely
6
Rate your English vocabulary knowledge level.
Rate your English vocabulary knowledge level on a scale of 1 to 10.
7
What is your favorite English word?
Type your favorite English word.
8
Have you ever written a story in English?
Select yes or no.
Yes
No
9
How comfortable are you with English grammar?
Rate your comfort level with English grammar on a scale of 1 to 10.
10
What would you like to improve in your English skills?
Please type your response.
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