汉语水平调查问卷.doc

汉语水平调查问卷 Standard Questionaire on Participant’s Chinese Level 英文姓名 Family Name: First Name: 中文姓名 Chinese Name： 性别 Gender 年龄 Age 国籍 Nationality： 母语 Mother Tongue: 职业或身份 Occupation or Status: 学习汉语的目的？ Why do you choose to study Chinese? 近一年内是否打算参加HSK考试？ Do you plan to attend the HSK Test(the official Chinese language proficiency test) within one year? 不打算 NO. 打算YES. 没决定 NOT DECIDED 以前学过汉语吗？ Have you ever learned Chinese before? 没学过 NO. (选择此项，则问卷到此为止 If you choose “NO”, please stop here. ) 学过 YES. 个月 Months 汉语水平自我评价 Self-assessment on your Chinese level: 初级Beginner 中级 Intermediate 高级 Advanced 在哪里学习的汉语？ Where did you study Chinese? 自己国家My home country 中国 China 其他地方 Other places 以前学习汉语的方式 How did you learn Chinese before? 班教Group learning 家教 Private tutor 自学 Self studying 其他 Other 以前使用过什么教材？ What textbooks did you use before? 1. 2. 3. 是否有HSK证书？ Do you have an HSK certificate? 没有NO. 有YES. 级别 HSK level 你可以使用汉语完成如下任务吗？ Can you fulfill the following tasks in Chinese? 简单问候 simple greeting 自我介绍 self introduction 问路 asking direction 点菜 ordering foods 看医生 seeing a doctor 订机票或旅馆 booking air-ticket and hotel 描述家人的外貌 describing family members’ appearance 向朋友介绍你的家乡 introducing your hometown to friends 对航班延误进行投诉 complaining about the delayed flight 讲一次交通事故的经过 telling an accident 向理发师说明要剪的发型 giving instructions to a barber 即兴的大会发言 giving a spontaneous presentation 进行抽象话题的辩论 debating on an abstract topic 做日程表 making agenda 撰写工作报告 making a work report 给朋友写明信片 writing postcard 在网上与朋友聊天 online chatting with friends 与客户用电子邮件交流 communicating with clients via email 看中文报纸 reading Chinese newespaper 写投诉信或建议信 writing letters to complain or suggest something 请具体描述一下你自己的汉语水平 Please describe your Chinese level in details: 填表日期Date: 年Year 月Month 日Day 1