Questionnaire for the Spanish Teacher

We ask your help in completing the following questionnaire, in order that we may place the student in an appropriate level of Spanish at Loomis Chaffee. This questionnaire will be used for placement purposes only, as the student has already been accepted to our school. This is a confidential statement.

Please submit all questionnaires by May 22. Thank you for your help!

Name of Studentrequired

Name of Schoolrequired

School City and Staterequired

Name of Teacherrequired

Level (year) of Spanish at present

Present grade (numeric, letter)

What section is the student in?

Honors Regular Other

If other, please specify:

Number of days class meets per week:

Length of class periods:

Does the class meet for the whole year?

Yes No

If no, please explain:

Name and edition of current text(s)

How much of this text was completed?

Supplemental reading(s) (ex: poems, short stories, fables, current events)

Are audio-visual materials or online resources used in connection with this course?

In class?

Yes No

In lab?

Yes No

If yes, please list:

To what extent is Spanish spoken in class?

Percent (%) by students

Percent (%) by teacher

Percent (%) of class instruction in Spanish

Percent (%) Spanish spoken by this specific student

Check the most accurate descriptor of this student's ability and performance in the present course level:

Reading

Excellent Good Average Poor

Please describe in greater detail this student's reading ability:

Listening

Excellent Good Average Poor

Please describe in greater detail this student's abiilty to comprehend spoken Spanish:

Overall Comprehension

Excellent Good Average Poor

Comments

Please describe in detail the student's writing ability in Spanish.

How does this student learn and assimilate new Spanish material?

quickly and with ease at a moderate pace other

If other, please explain:

How would you describe this student's resilience while learning another language?

How does this student speak Spanish?

with comfort and/or accuracy with difficulty other

Please describe in greater detail this student's speaking ability in Spanish:

Please indicate the student's level of competency with the following material:

A. Verb Tenses/Forms

Modo Indicativo

Presente