Name

First Name

Last Name

How long have you come to SCLC?

6 months or less

6 months - 1 year

1 - 2 years

3 - 5 years

More than 5 years

Before you came to SCLC, could you understand spoken English?

Yes, before I came to SCLC, I could understand almost everything said in English.

Before I came to SCLC, I could understand about half of what was said in English.

Before I came to SCLC, I only understood a few things spoken in English.

Before I came to SCLC, I could understand very little of what was said in English.

Before you came to SCLC, could you speak English?

Yes, before I came to SCLC, I could speak pretty well in English.

Before I came to SCLC, I could not speak very well in English.

Before I came to SCLC, I could only say a few things in English.

Before I came to SCLC, I could not speak at all in English.

Since you came to SCLC, has your English improved?

Yes, since I came to SCLC, I am able to understand and speak English much better.

Since I came to SCLC, my English has improved, but I still need help with understanding and speaking.

Since I came to SCLC, my English has not improved as much as I hoped it would.

Since I came to SCLC, my English has not improved at all and I am very discouraged.

In what ways has learning English with SCLC helped you?

Check all that apply

At work

With my children

At my children's school

At the doctor

Shopping

Getting help

How often do you practice English?

Every day

A few times a week

Only when I am at SCLC

Do you plan to continue coming to SCLC?

Yes, definitely

I am not sure

No, I do not plan to keep coming to SCLC

Would you recommend SCLC to a frient?

Yes, definitely

I am not sure

No, definitely not