Pre-testing Questionnaire for Hawai'i Language Roadmap Proficiency Testing Program
A. Background Information
Name
*
First Name
Last Name
Email
*
example@example.com
When you qualify for a certificate, where would you like it to be delivered? Please provide your complete mailing address, including zip code.
* Your mailing address will be used only to mail your certificate when you qualify. It will not be shared with anyone outside the testing program.
Through which program were you offered to take the assessment for the Global Seal?
*
Community Health Worker Program
Other Health Science Program
UH Manoa CALL Student
Korean Language Flagship Student
LCC Education Interpreting Class
KCC Interpreting Class
State Worker
Community Interpreter (medical, legal, social services, etc.)
Other
What is your current degree program?
*
I am not a Student
Certificate
Associate Degree
Bachelor's Degree
Master's Degree
Doctorate
Other
What is your major (current degree program) or field of specialization?
*
(Anticipated) Semester of Graduation
*
What is your current degree program?
*
Certificate (CHW, etc.)
Associates Degree
Bachelors Degree
Masters Degree
Through which program were you offered to take the assessment for the Global Seal?
*
Community Health Worker Program
UH Manoa Language degree
Other Health Science Program
CALL Major
Other
If you chose Other, please elaborate:
Type N/A if not applicable
B. Language Profile
What is your first/native language?
*
Specify exact variety, e.g., Mandarin, Cantonese, Tagalog, Japanese, etc.
What is your additional language (the one you will test)?
*
If more than one, please select the one you plan to test in first
For each level of formal education, you completed, please indicate the main language of instruction. (If you did not attend that level, select "None")
*
Rows
English
Additional language
Both
Other
None
Elementary school
Middle school
High school
Associate's degree
Bachelor's degree
Master's degree
Doctorate
C. Self Assessment of Proficiency
Based on your own evaluation, rate your English ability for each skill (1 = poor, 5 = professional)
*
Rows
1
2
3
4
5
Speaking
Listening
Writing
Reading
Based on your own evaluation, rate your additional language ability for each skill (1 = poor, 5 = professional)
*
Rows
1
2
3
4
5
Speaking
Listening
Writing
Reading
How confident are you in your ability to use your non-English language in each situation? (1 = never, 5 = extremely confident)
*
Rows
1
2
3
4
5
In workplace settings
In technical and administrative settings
In my daily life
If you are a language major, please input your major here (N/A if not applicable):
*
Please indicate the language(s) you wish to test here:
*
Indicate your preference for the testing date using numbers 1-3 for your top 3 dates (1 is most preferred, 3 is least preferred). Mark "0" for all other dates. Testing is held in the Moore Hall Computer Labs Room 153 on UH Manoa Campus from 9am to 2pm.
Based on your own evaluation, rate your ability in your additional language for each skill
*
Rows
Poor
Average
Very Good
Excellent
Professional
Speaking
Listening
Writing
Reading
D. Language Use & Importance
How often do you use your additional (non-English) language in daily life to: speak, listen, read, and write
*
Rows
Never
Rarely
Sometimes
Often
Almost always
Speaking
Listening
Reading
Writing
On a scale of 1-10, how important is your proficiency in English for your current and/or future job?
*
Not important at all
1
2
3
4
5
6
7
8
9
The most important skill for my job
10
1 is Not important at all, 10 is The most important skill for my job
On a scale of 1-10, how important is your proficiency in additional language for your current and/or future job?
*
Not important at all
1
2
3
4
5
6
7
8
9
The most important skill for my job
10
1 is Not important at all, 10 is The most important skill for my job
On a scale of 1-10, how important do you think your proficiency in English will be in getting a job after you earn your certificate/degree?
*
Not important at all
1
2
3
4
5
6
7
8
9
The most important skill for my job
10
1 is Not important at all, 10 is The most important skill for my job
How often did you/do you/will you use your additional language on the job?
*
Rows
Never
Rarely
A few times a week (but just a little bit)
A few times a week (but a lot)
A little bit every day
A lot every day
In a previous job
In my current job
In the job I hope to get after I complete my certificate/degree
E. Workplace Usage
How often did you/do you use your additional language on the job? Please click "Never" if you have no previous job or current job.
*
Rows
Never
Rarely
Sometimes
Often
Almost always
In your previous job
In your current job
Briefly describe a) how you used your additional language in a previous job, b) how you are using it in your current job
*
On a scale of 1-10, how important do you think your proficiency in your additional language will be in getting a job after you earn your certificate/degree?
*
Not important at all
1
2
3
4
5
6
7
8
9
The most important skill for my job
10
1 is Not important at all, 10 is The most important skill for my job
F. Consent
In consent to my responses being used for research and program improvement purposes
*
Yes
Are you willing to be contacted to provide a short testimonial?
*
Yes
No
How many years have you been speaking, reading, and/or writing this language?
*
Less than three years
3 to 5 years
5 to 8 years
8 to 12 years
12 to 15 years
15 years or longer
My whole life
How often do you use your additional (non-English) language in daily life to:
*
Rows
Never
Rarely
A few times a week (but just a little bit)
A few times a week (but a
lot)
A little bit everyday
A lot everyday
Speak
Listen
Read
Write
Currently, how likely are you to include your proficiency in an additional language on your resume?
*
I will absolutely not include them on my resume.
1
2
3
4
5
6
7
8
9
I definitely will include this on my resume.
10
1 is I will absolutely not include them on my resume., 10 is I definitely will include this on my resume.
How confident are you in your ability to use English in each situation?
*
Rows
Not confident at all (I never open my mouth unless I have to)
Somewhat confident
Confident
Very confident
Extremely confident (I never think about it)
In my current job
In my classes
In my daily life
In the job I take after I earn my certificate/degree
How confident are you in your ability to use your additional language in each situation?
*
Rows
Not confident at all (I never open my mouth unless I have to)
Somewhat confident
Confident
Very confident
Extremely confident (I never think about it)
In my current job
In my daily life
In the job I take after I earn my certificate/degree
Thank you for completing the pre-testing survey. Once you submit this survey, we will follow up by e-mail with a date confirmation. Please do not hesitate to contact us at hlrtest@hawaii.edu if you have any questions regarding the proficiency test. If you have questions now, you can submit them by typing in the box below. Good luck!
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