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The Questionnaire Form

This document contains a questionnaire for students at Universitas Jember regarding their willingness to speak English. The questionnaire collects the student's name, phone number, student number, and asks two questions. The first question asks if the student speaks English to learn EFL at the English Department. The second question asks the student's reason for not speaking English, providing options like fear of mistakes, cultural differences, social status, or lack of familiarity with speaking English outside the classroom. It allows the student to provide another reason if not covered. The questionnaire aims to understand students' willingness to speak English and their potential reasons for not doing so.

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Evi dewi zakiya
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0% found this document useful (0 votes)
29 views1 page

The Questionnaire Form

This document contains a questionnaire for students at Universitas Jember regarding their willingness to speak English. The questionnaire collects the student's name, phone number, student number, and asks two questions. The first question asks if the student speaks English to learn EFL at the English Department. The second question asks the student's reason for not speaking English, providing options like fear of mistakes, cultural differences, social status, or lack of familiarity with speaking English outside the classroom. It allows the student to provide another reason if not covered. The questionnaire aims to understand students' willingness to speak English and their potential reasons for not doing so.

Uploaded by

Evi dewi zakiya
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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The Questionnaire Form – English Version

Name : Phone Number :

Student Number :

Direction: Answer these questions below. In question number two, circle one of
the most answer that make you are unwilling to speak English. If you have
another answer, write in the blank space.

1. Do you speak English toward learning EFL in English Department Faculty


of Humanities Universitas Jember?

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2. What is your reason not to speak English toward learning EFL in English
Department Faculty of Humanities Universitas Jember?
a. I am nervous when I speak to the opposite sex. (Gender)
b. My English is not good. (Negative self perception)
c. I am afraid to make mistakes in pronounciation and grammar in
English. (Fear of making mistaakes)
d. When I speak in English, I am influenced by my culture. (culture
differences)
e. I lack of confidence when speaking English with interlocutors who have
a higher status than me, such as I speak with my lecture. (Social status)
f. I am not accustomed to speak English so I only speak English in the
classroom (Social Environment)
g. Others
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