Section 1: DEMOGRAPHIC INFORMATION

1. Age

2. Sex

3. Country of origin

4. Annual income

5. Languages spoken

6. Education (e.g., College, university, diploma)

7. Teacher training

Section 2: TEACHING EXPERIENCE

1. I have taught: ESL/EFL

2. I have taught other subjects/languages

3. I have taught for approximately...years

4. I have taught in the following country(s) and/or institution(s)

5. I have taught *Japanese students before (*target culture)

6. I have taught English to *Japanese students before

7. I have taught English to *Japanese students in...programs/years

8. I have taught English to (similar age/gender/culture) students before

9. I have taught English to students (in this program before)

Section 3: THEORETICAL PERSPECTIVE

1. I think the most important influences on language acquisition are...

2. I think the goals of this program are

* Language development

* Speaking

* Listening

* Reading

* Writing

* Language practice

* Speaking

* Developing awareness of Canada

* Developing awareness of Canadian culture

* Students having fun

Section 4: PEDAGOGICAL PRACTICE (Class activities)

In general (i.e., not only in this program), I use the following techniques

* Group work

* Individual production

* Teacher controlled activities

* Student centered activities

* Co-operative activities

* Competitive activities

In this program, I expect to use the following techniques

* Music

* Games

* Drills

* Dictation

* Pair work

* Group work

* Writing activities

* Reading activities

* Tests

* Homework

Section 5: PEDAGOGICAL EMPHASIS

In this program, I believe I will emphasize

* Fluency

* Accuracy

* Student participation

* Pronunciation

* Spelling

* Grammar

* Reading

* Writing

* Communicative competence

* Survival skills

Section 6: PERCEPTIONS OF STUDENT CHARACTERISTICS

I believe a successful student will be one who

* Volunteers answers

* Speaks frequently

* Is enthusiastic

* Is polite

* Sits quietly

* Co-operates with other students

* Consults with other students before answering

* Competes with other students

Section 7: PERCEPTIONS OF PROGRAM GOALS

I believe the goals of this program are to help students to

* Learn about *Canada (*target culture)

* Learn about *Canadians

* Learn more English

* Practice their English

* Learn about *Canadian youth culture

* Meet *Canadians

* Challenge their beliefs by new experiences

Section 8: TEACHING STYLE

1. I believe the adjective best describing my personality in the ESL classroom is...

2. I consider myself a good ESL teacher

Section 9: PEDAGOGICAL PREFERENCES

1. My favourite ESL level to teach is

2. My favourite age group to teach is

Section 10: COGNITIVE/LEARNING STYLE

1. I think learning languages is difficult

2. I think learning languages is different than learning other subjects

3. I consider myself a good language learner

4. I think I learn language best by listening

5. I think I learn language best by reading

6. I think I learn best by writing out notes

7. I think I learn best by memorizing words and/or lists

8. I think I learn best by practicing by myself