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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.
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.
5

How often do you read in English for fun?

Choose how often you read in English for fun from the options below.
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.
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.