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TEL	0049 221 2578274 + 74
Englisches Institut Koeln, Gertrudenstr. 24-28
D-50667 Cologne, Germany

English for Engineers and Technicians

Questionnaire concerning previous experience of English

Name: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  _ _ _ _ _ _  _ _ _ _ _ _ 

Company: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  _ _ _ _ _ _  _ _ _ _ 

Address: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  _ _ _ _ _ _  _ _ _ _  

1. Previous learning

How many years have you learned English? _ _ _ _ _ _ _ _ _ _ When? _ _ _ _ _ _ _ _ _ _ _ _

Where? 

	_ secondary school	_ 3rd level education (university etc.)		_ adult education

	_ private language school	_ in-company training	_ living abroad

	_ other (please give details) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

How did you learn?

	_ through English	_ through your own language

2. Reading English

How often do you have to work with English-language technical documentation?

	_ never	_ rarely	_ occasionally	

	_ regularly	_ often		_ all the time

What kind of documentation is this?

How do you find working with this documentation?

	_ very easy	_ easy		_  a little difficult	_ difficult	_ very difficult

3. Speaking and understanding English

How well can you make yourself understood in English?

In general situations			In technical contexts

	_		very well		_

	_		well			_

	_		I get through		_

	_		badly			_

	_		not at all		_

How much spoken English do you understand?

	_ I usually have no problem

	_ I have difficulty with fast speech or local accents

	_ I understand only the essential information

	_ I understand almost nothing

4. Writing English

Do you write technical material in English?

E-mails / correspondance 				Reports

		_		often			_

		_		sometimes		_

		_		never			_

Do you find this

	_ very easy	_ easy		_  a little difficult	_ difficult	_ very difficult?

5. General

In which technical field do you work?

	_ electrical engineering	_ telecommunications	_ mechanical engineering

	_ information technology	_ other (please give details) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 

6. Please write

Please write half a page in English on your work, and why you need English.

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Place, date							Signature

Please fax this form to Englisches Institut Koeln, fax number 0049 221 255450